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Examples of current and past technical assistance provided by IHPS
to counties and regions involved in expanding health access coverage
for children/families include the following:
Sacramento Sierra Valley Region
(includes Colusa, El Dorado, Sacramento,
Yuba and
Yolo counties)
- Convene regional First 5 Commission leadership
on the feasibility of a regional Children’s Health Initiative.
- Design and perform analysis of hospital
uncompensated care for children in the region.
- Data analysis for regional estimates
of uninsured children and their eligibility for public
insurance programs.
- Design and apply diagnostic tool to assess
local political, financial and community support for CHI.
- Convene and provide strategic expertise
to regional Steering Committee composed of health and social
services agencies, Boards of Supervisors, hospitals, health plans
and school districts to consider specifics on regional CHI and
its implementation.
- Develop the project charter for
the Sacramento Sierra Valley Region.
- Develop a timeline and workplan for regional
CHI implementation.
- Provide advice and content expertise
to regional workgroup.
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San
Joaquin Valley Region
- Convene regional First 5 Commission leadership
on the feasibility of a regional Children’s Health Initiative.
- Data analysis for regional estimates
of uninsured children and their eligibility for public
insurance programs.
- Design diagnostic tool to assess local
political, financial and community support for CHI.
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Fresno
County
- Provide detailed estimates of uninsured
children and those eligible for Medi-Cal and Healthy Families
using the 2001 California Health Interview Survey (CHIS) data.
- Provide consultation for the overall
governance structure of the Fresno CHI, including steering
committee and subcommittee membership and responsibilities.
- Assess political, financial and organizational
factors and develop strategic plan that includes a global
budget and cost projections.
- Conduct an assessment of the sufficiency
and capacity of the local provider network using secondary
data and stakeholder interviews.
- Provide guidance on leveraging funds
to cover the maximum number of uninsured children, including local,
state and national resources for premium support and for operational
sustainability.
- Identify and facilitate collaboration
with neighboring counties in the development of a regional
CHI.
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Kern
County
- Provide content expertise to the
Kern First 5 Commission on each stage of planning, designing and
implementing a CHI.
- Assist in the development of a Request
for Proposals (RFP) for health, dental and vision plan
solicitation.
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Los
Angeles County
- Facilitated linkages to and information-sharing
with other counties in the development of the CHI.
- Reviewed the concept paper and proposal for the CHI.
- Facilitated media coverage of
the CHI.
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Monterey
County
- Conducted an analysis of uninsured data
and submitted a county update report to the First 5 Commission
of Monterey County.
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Orange
County
- Provided background information and analyses
on program design issues, including the benefit plan, cost-sharing,
payment policies and funding arrangements to the Children's Health
Access Collaborative.
- Conducted focus groups with ethnic
small employers and employees on the creation of a small business
initiative to reach uninsured families.
- Conducting analyses for the Project Advisory
Committee on program design, cost-sharing, payment policies
and funds leveraging to launch a subsidized, small business initiative.
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San
Benito County
- Provide detailed estimates of uninsured
children and those eligible for Medi-Cal and Healthy Families
using the 2001 California Health Interview Survey data.
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San
Mateo County
- Developed budget projections and identifying
structural options for the San Mateo Healthy Kids Initiative.
- Provided data analysis on San Mateo's
uninsured population for the Health Services Agency.
- Provided several funding scenarios and
options for funds leveraging to expand the initiative.
- Provided analyses on the implications
of crowd-out and developed recommendations on approaches
for addressing potential shifts from employer coverage to county-financed
coverage.
- Provided expertise in evaluation design
and coordination.
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Santa
Clara County
- Conducted focus group research
for the Social Services Agency on their Systems Redesign and Medi-Cal
Retention Project.
- Conducted an organizational and programmatic
assessment for the Health Trust.
- Funded development of outreach and retention
plan for the CHI Coalition to identify and prioritize strategies
to improve retention in the CHI.
- Facilitated media coverage of
the CHI.
- Funded technical support for the Health-e-App
implementation.
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Santa
Cruz County
- Provided several funding scenarios and
options for funds leveraging to expand the Healthy Kids
initiative.
- Facilitated linkages to and information-sharing
with other counties in the development of the CHI.
- Reviewed the concept paper and proposal for the Santa Cruz Healthy
Kids Initiative.
- Developed options for an appropriate governance
structure and subcommittees.
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Solano
County
- Researched and wrote a comprehensive
report on promising practices for outreach, enrollment and retention
of children and adults in health insurance programs.
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Tulare
County
- Provide content expertise to the
Tulare First 5 Commission and local CHI coalition on each stage
of planning, designing and implementing CHI.
- Develop a comprehensive outreach, enrollment
and retention plan with local stakeholders to reduce number
of uninsured children.
- Provide detailed estimates of uninsured
children and those eligible for Medi-Cal and Healthy Families
using the 2001 California Health Interview Survey (CHIS) data.
Quantitative work has also included estimating
the number of children eligible for AB495 matching funds.
- Develop, with the steering committee, a Tulare
CHI charter that includes the overall vision and specific
implementation objectives.
- Formalize objectives for CHI subcommittees
and facilitate meetings: 1) Outreach, Enrollment, Retention
and Utilization; 2) Financing; and 3) RFP/Governance.
- Assist in the development of a Request
for Proposals (RFP) for health plans and the process
of proposal review and plan selection.
- Provide guidance on leveraging funds
to cover the maximum number of uninsured children, including local
and state resources for premium support and operational sustainability.
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