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Insure The Uninsured Project

Remaining Uninsured

Orange County

Isabel Becerra, Chief Executive Officer February 17, 2015

MISSION STATEMENT: The Coalition of Orange County Community Health Centers is a

consortium of safety net providers and key partners creating quality healthcare for all.

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The COALITION

• Our member health centers ARE the primary care safety net in Orange County

• Incorporated 1974

• 26 clinic organizations, 58 clinic sites• 50% FQHCs

• 300,000 annual patients; 800,000 annual visits

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Primary Care FundingUndocumented

The Lara bill PRUCOL for those with deferral from

deportation

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Evolving Role for Health Care Agency

• Tobacco Settlement Revenue (TSR)• Infrastructure

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Evolving role for CalOptima

• FQHC Readiness Support• FQHC Implementation Support

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Reinstatement of EAPC

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PLANNING FOR ACA• FQHC Expansion Campaign, 2001• Now 50% membership FQHC • CalOptima Safety Net Grants, 2014

• Development of IPA, 2008• Access and Capacity Study, 2010• Patient Health Home Innovation Project, 2011• 3 pilot sites• Now 5 health centers NCQA accredited (three Level 3!)

• Centralized Outreach and Enrollment Efforts

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SUPPORT AND COLLABORATIVE EFFORTS

• Medical and Dental Provider Forums

• Shared Care Collaborative • Specialty Care and Social Services• E-referral module

• Workforce Initiative • AHEC (pipeline activities)

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CalOptima Community NetworkImpact on CHCs

• Direct contract with CalOptima• Non-exclusive relationship• CHCs can keep existing IPA contracts

• Access to utilization and quality data• Framework for Quality Management and Pay

for Performance Programs• Build managed care experience• Support sustainability of access points

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Questions

THANK YOU