Strategic Community Health Center Growth

Strengthening Ohio’s Safety Net Roundtable

HealthPath Foundation of Ohio

April 29, 2011

Shawn Fricksfrick@nachc.com

Director, State Growth Strategies

Health Center Focus 2011-15

Obama, Boehner and The Tea Party

Health Reform – Funding Growth Chart

•36% of total Trust Fund Pot (3.6B) has been allocated•Does not include $1.5B for capital projects

2011 CHC Budget Results

• Reduced base appropriations to $1.59 billion from $2.19 billion• Health Center Trust Fund - $1.0 billion for FY ‘12• Total Funding $2.6 billion for FY ‘12

–$600 million taken from Trust Fund to sure up existing

appropriations ($2.19 billion)

–$250 million used for ARRA Funded Health Centers

–FTCA, Across the board cuts and Supplemental

funding to Cooperative Agreements

• About $60-92 million available for growth in FY ‘11

Health Reform: What Does It Mean For Ohio?

Current Ohio(2009) Patients by Payer Source

(437k)

Post-Reform (2015+) PatientsBy Payer Source (850k??)

NOTE: Medicaid and Exchange patients will grow over the next 10 years. Private Insurance will likely decline.Ohio CHCs must increase Medicare patient population

Access Across Ohio

• Comprehensive needs analysis of each state indentifying:

–Priority communities for new health center development

–Planned expansions of existing health

–Coordination: PCA/Existing CHCs/New Entities

• Demonstrate that PCAs and health centers have a plan and are prepared to address their state’s needs. • Identify PCA T/TA for new/existing Health Centers to:

–Assure high scoring applications (90+)

–Drive toward full service health centers

• Promote and defend the CHC mission

2011-13 Strategies for Growth

• Focus on Existing Health Centers

–Must Expand Sites and Services Now

–Stability is the key

–Smart Growth to areas without a CHC site

• Come together as an provider!

–Must be united and strong

–Future is dependent upon our business plans

–Data, data, data

–Marketing and Market Share

• Must be a driver in Ohio for the ACO and Exchanges

2011 - Are there Opportunities ???

• Time to think and plan!!!!!

• $60-90 million in expansion funding (NAPs or Expanded Services)• NAP applications – viable until December 15, 2011• Facility Improvement Program Opportunity ($750 M)

• ACA Implementation – All providers will be affected by:

–Patient Centered Medical Homes

–Meaningful Use

–Accountable Care Organizations

–State Exchanges

Communities interested in Health Center designation should be…

• Completing 3-5 year strategic plans

– Where are high needs in your area? Nearby?

–What are your capital needs:• Facilities• Information Technology• Workforce

• Merging with other CHCs?• Taking over practices or adding satellites

(Look-Alike or Change in Scope)

2011-15 Biggest Challenges ???

More Pressure ChallengesTo integrate with other

providers (including other CHCs)

To coordinate patient care to assure continuity and full sharing of clinical data/information.

To coordinate service delivery and match capacity while linking patients with enabling services.

Re-engineering our health center operations (data and insurance focused)

Thank You!

Any

Questions?