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xxi Simmons, Sandy Coe, Gionfriddo, Paul. The Future of Healthcare in Austin. Indigent CareCollaboration. 2004.xxii Simmons, Sandy Coe, Gionfriddo, Paul. Summaries of ICC Major Initiatives/Programs. Indigent CareCollaboration. 2004.xxiii Morningside Research and Consulting, Inc. Report to the Technical Advisory Committee. July 2002.xxiv Silow-Carroll, Sharon, Alteras, Tanya, Sacks, Heather. Community-Based Health CoveragePrograms: Models and Lessons. Economic and Social Research Institute. February 2004.xxv National Institute for Health Care Management. The Uninsured: A Study of Health Plan Initiatives andthe Lessons Learned. March 2003.xxvi Silow-Carroll, Sharon, Alteras, Tanya, Sacks, Heather. Community-Based Health CoveragePrograms: Models and Lessons. Economic and Social Research Institute. February 2004.xxvii Silow-Carroll, Sharon, Anthony, Stephanie E., Meyer, Jack A. State and Local Initiatives to EnhanceHealth Coverage for the Working Uninsured. Economic and Social Research Institute. November 2000.xxviii Silow-Carroll, Sharon, Anthony, Stephanie E., Meyer, Jack A. State and Local Initiatives to EnhanceHealth Coverage for the Working Uninsured. Economic and Social Research Institute. November 2000.xxix Silow-Carroll, Sharon, Waldman, Emily K., Meyer, Jack A. Expanding Employment-Based HealthCoverage: Lessons from Six State and Local Programs. Economic and Social Research Institute.February 2001.xxx Fronstin, P., Lee, J. (2005). A Community Expands Access to Health Care: The Case of AccessHealth in Michigan. Health Affairs 24;3:858 – 863.xxxi Silow-Carroll, Sharon, Alteras, Tanya, Sacks, Heather. Community-Based Health CoveragePrograms: Models and Lessons. Economic and Social Research Institute. February 2004.xxxii Silow-Carroll, Sharon, Alteras, Tanya, Sacks, Heather. Community-Based Health CoveragePrograms: Models and Lessons. Economic and Social Research Institute. February 2004.xxxiii Meyer, Jack A, Rybowski, Lise S. Business Initiatives to Expand Health Coverage for Workers inSmall Firms, Volume 1: Overview and Lessons Learned. October 2001.xxxiv Meyer, Jack A, Rybowski, Lise S, Schield, Jill, Legnini, Mark W., Stepnick, Larry. Business Initiativesto Expand Health Coverage for Workers in Small Firms, Volume 2: Case Studies of Four Initiatives.Economic and Social Research Institute. November 2001.xxxv Rosenburg, S. N. New York’s HealthPass Purchasing Alliance: Making Coverage Easier for SmallBusinesses. Mailman School of Public Health – Columbia University. September 2003.xxxvi Kronenberg, Anne. Healthcare Accountability Ordinance Update. San Francisco Department ofPublic Health. July 2004.xxxvii Kronenberg, Anne. Healthcare Accountability Ordinance Update. San Francisco Department ofPublic Health. November 2003. Katz, Mitchellxxxviii Katz, Mitchell. Healthcare Accountability Ordinance – Minimum Health Benefits Standards. SanFrancisco Department of Public Health. May 2001.xxxix Amarasingham, Rubin, Pickens, Sue, Anderson, Ron J. County Hospitals and Regional Medical Carein Texas: Analysis of Out-of-County Costs, Texas Medicine, June 2004.D-34
Table 1. Local Care InitiativesLocation El Paso, TX San Antonio, TX Denver, CO Detroit, MILocal Care Initiative Health Care Options CareLink Denver Health PlusCareStart Date 1999 1997 1994 1992OverviewOrganizational FormHealth CarePurchasing withManaged CareHealth CarePurchasing withManaged CareConsolidated SafetyNet Plan with ManagedCare Features andVertical IntegrationManaged Care PlanConsolidated No No Yes NoCoordinated No Yes Yes YesCollaborative Yes No No YesCommunity VoicesPatient CareBexar County Hospital Denver Health andAdministrative Authority Collaborative and FirstManagement SystemDistrictHospital AuthorityHealth NetworkDelivery SystemCoordinated Features *IES, PCA, SR,CMIES, IPRS, PCA, CM,QA, SRIES, IPRS, QA,CM, PHDLIES, PCA, QA, SRServices Provided ** A,C A - E A - F A-FUTSA Med School,CHCs, FQHC,All Public Safety Net FQHCs and other SafetyCommunity PartnersComm Medical Assoc,Hosp Dist, OtherProvidersNet ProvidersFQHCs,Patient Cost Share (y/n) Yes Yes Yes YesProvider PaymentEligibilityFFSFFS – Physicians% Charges, DRG- OtherVaries by ProgramCapitation PMPMChildren No Yes YesCounty, State, MedicaidMatchingAdults Yes Yes Yes $44 million (2004)Income Threshold 100% FPL 200% FPL Varies by program $250/month/personOtherResidents not eligiblefor other programsResidents not eligible forother programs$90 work expensededucted from incomeTotal Enrolled/Served 7,000 (2004) 53,000 (2004) 155,000 (2002) 25,000 (2004)*FeaturesIES Integrated Eligibility System(w/ local safety net)PCA Primary Care AssignmentRPR Reduced Provider ReimbursmentCM Case ManagementQA Quality AssuranceSR Structured Referral networkBC Broker CollaborationMC Marketing CampaignRC Rate Cap**Services ProvidedA Primary and Preventative CareB Inpatient careC Specialty CareD Pharmacy AccessE Behavioral Health CareF DentalG VisionD-35
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Appendix ATask Force Members and St
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Hector Balcazar, Ph.D.Regional Dean
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Charles Haley, M.D., M.S.Medical Di
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Michael McKinney, M.D.Senior Execut
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M. Roy Wilson, M.D.PresidentTexas T
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Appendix BMedicaid and the State Ch
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services. There are two broad types
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Mandatory and Optional Covered Popu
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• Nurse-midwife services;• Fede
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Disproportionate Share Hospital Pro
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March 13, 2001, that limited the am
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year from FFY 2002-2004, $4.05 bill
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Medicaid beneficiaries. Section 191
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started in 2001 and 2002 to curb in
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urban and with fewer than 250,000 p
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Protection Act of 2000 and the Medi
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orientation). Recipients of Supplem
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enrollee is assigned a primary care
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Table 7. Texas Medicaid Policy Chan
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Table 8. Texas SCHIP Policy Changes
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families (through the employer’s
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share of the match must come from t
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Reinstating the Medically Needy Spe
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Endnotes1 Texas Health and Human Se
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35 Powers, Pyles, Sutter, and Vervi
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73 Office of Management and Budget,
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113 TexCare, Children’s Health In
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150 Lyndon B. Johnson School of Pub
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States by Groupings with Current El
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Medicaid and the State Children’s
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Graduate Medical Education ProgramA
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needs, however, there is a shortage
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15 Texas Association of Counties,
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ecording and evaluation; physical e
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Medicaid and the State Children’s
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ReferencesAmerican Academy of Pedia
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downloads/bipa.pdf#search='Medicare
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Texas Health and Human Services Com
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Appendix CAn Analysis of Reform Opt
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Encouraged by these low rates, Cong
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Establishing state-only tax incenti
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New York passed the Health Care Ref
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Hospital Cost Containment — Maryl
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dollar spent. 237 Texas spent almos
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Another option for small businesses
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• Medical equipment and supplies,
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pay the premiums for Medicaid benef
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Medicaid to children born after Sep
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Bill of Rights or “TABOR”; and
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The federal share for CHP+ is 65 pe
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SCHIP: increased eligibility in CHP
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• Medical equipment and supplies
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6. Funds obtained through the recov
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Status ReportMaineCare Program Expa
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the federal poverty level. 404 Sinc
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need their jobs as a source of empl
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Endnotes191 Deborah Chollet, Issue
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225 Ibid.226 Maryland Health Care C
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259 Kaiser Family Foundation, State
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SCHIP&subcategory=Medicaid+Spending
Page 124 and 125: 325 Kaiser Family Foundation, State
Page 126 and 127: 361 State Coverage Initiatives, Sta
Page 128 and 129: SCHIP&subcategory=SCHIP&topic=Feder
Page 130 and 131: An Analysis of Reform Options Devel
Page 132 and 133: ReferencesAdvantage Insurance and F
Page 134 and 135: Donnell-Kay Foundation. “Amendmen
Page 136 and 137: Kaiser Family Foundation. Demograph
Page 138 and 139: State Coverage Initiatives. Profile
Page 140 and 141: Appendix DLocal Initiatives to Expa
Page 142 and 143: with more coordinated services that
Page 144 and 145: FinancingSources of revenue include
Page 146 and 147: AdministrationThe Health and Hospit
Page 148 and 149: Until 1993, Denver Health (DH) was
Page 150 and 151: different benefit plans are offered
Page 152 and 153: Cost SharingPatient cost-sharing is
Page 154 and 155: management programs. I-Care promote
Page 156 and 157: the county indigent care plan. Bene
Page 158 and 159: Firstplan xxvi,12Moore County, Mich
Page 160 and 161: Benefits and ServicesEnrollees can
Page 162 and 163: EligibilityAs of 2005, enrollment i
Page 164 and 165: etween $23 and $120 per month. Ther
Page 166 and 167: Healthcare Accountability Act xxxvi
Page 168 and 169: Coordination - When health care age
Page 170 and 171: subsidized initiatives offer exposu
Page 172 and 173: arriers, two health plans attempted
Page 176 and 177: Table 1 (Continued). Local Care Ini
Page 178 and 179: Table 2 (Continued). Local Coverage
Page 180 and 181: Appendix EEducation and Health:A Re
Page 182 and 183: The human capital approach suggests
Page 184 and 185: etween standardized test scores (St
Page 186 and 187: INTRODUCTIONEducation plays a wide
Page 188 and 189: of children with chronic health con
Page 190 and 191: Implications. Given the current pre
Page 192 and 193: DiabetesPrevalence. Diabetes in chi
Page 194 and 195: Limitations. The cross-sectional de
Page 196 and 197: chronic lung disease, cystic fibros
Page 198 and 199: significant differences between tho
Page 200 and 201: Table 1. Prevalence of Selected Chr
Page 202 and 203: findings of lower test scores are b
Page 204 and 205: al (McKewen et al., 1998) report a
Page 206 and 207: Section 3. School-Based Interventio
Page 208 and 209: mathematics, science and oral expre
Page 210 and 211: Table 4. Summary of Research Findin
Page 212 and 213: etween SES and health is a dose-res
Page 214 and 215: Self-Rated Health. Evidence accumul
Page 216 and 217: economic hardship. One of the skill
Page 218 and 219: Education also improves the stabili
Page 220 and 221: sex in the expectation of a more pr
Page 222 and 223: TABLE 6. SUMMARY OF EXPLANATIONS FO
Page 224 and 225:
According to the Census 2000 data,
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Policy Reports Recommendations (Tot
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Section 2. Recommendations on Schoo
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Childhood ConditionsSchool-based Pr
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Childhood ConditionsDiabetes (n=11)
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eduction in reading test scores com
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Table 10. Estimates of the Cost of
Page 238 and 239:
National Asthma Education and Preve
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REFERENCESAck, M., Miller, I., & We
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Elo, I. T., & Preston, S. H. (1996)
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Kaemingk, K. L., Pasvogel, A. E., G
Page 246 and 247:
Miller, D. S., & Miller, T. Q. (199
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Ross, C. E., & Wu, C. L. (1996). Ed
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Williams, D. R. (1990). Socioeconom
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SAMPLE, DESIGN, & INTERVENTIONACHIE
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SAMPLE, DESIGN, & INTERVENTIONStudy
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Page 258 and 259:
Page 260 and 261:
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Page 264 and 265:
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SICKLE CELL ANEMIAArmstrong(1996)SA
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SAMPLE, DESIGN, & INTERVENTIONSickl
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SAMPLE, DESIGN, & INTERVENTIONhemog
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SAMPLE, DESIGN, & INTERVENTIONStudy
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Curriculum Content: Statute §28.00
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• HEALTH PROMOTING ENVIRONMENTSch
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• COORDINATION/IMPLEMENTATIONCoor
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Education and Health: A Review and
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Appendix FState Regulation of Healt
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coverage they offer. 14 By 2004 onl
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poor health may make coverage more
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account for most, or even much, of
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More active state intervention in t
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Table 3 (GAO Appendix IV) shows whi
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Appendix GEmergency and Trauma Care
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The treatment of shock prior to sur
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the EMS needs in rural areas of the
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Level IV trauma centers should be a
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Table 2. Trends in Trauma Severity,
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the hospitals were on diversion or
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Representative Delisi was successfu
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Mental Health Access ChallengesCare
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fhttp://www.techproservices.net/his
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oohttp://www.saveourers.org/reports
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Appendix HBrief: Consulate ClinicDe
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In addition, the roundtable discuss
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clinic(s) affiliated with medical s
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Appendix ICommon Abbreviations
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HMOHRQOLHRSAICF/MRIHCTAIOMISSLBBLIU
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Appendix JPresentersDate/Location:
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Appendix KProvider Taxes: A Differe
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were previously categorized as char
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