utah healthcare safety net summit
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Utah Healthcare Safety Net Summit. Cannon Health Building 288 N orth 1460 W est , Rm 125 May 19, 2009 John Pingree, Intermountain Healthcare. Intermountain Healthcare. Community Benefit Programs Financial assistance (charity care) Community and school clinics - PowerPoint PPT PresentationTRANSCRIPT
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Utah Healthcare Safety Net Summit
Cannon Health Building
288 North 1460 West, Rm 125
May 19, 2009
John Pingree, Intermountain Healthcare
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Intermountain Healthcare
Community Benefit Programs
• Financial assistance (charity care)
• Community and school clinics
• Health initiatives (medical, oral, mental health)
• Foundations and giving programs
• Training and education program
• Research
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Of all the forms of inequality,injustice in healthcare is the
most shocking and inhumane.
– Martin Luther King, Jr.
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Quality of Life Disparities, Utah
Under AboveConditions 200% FPL 200%FPL Diabetes 12% 4% Hypertension 35% 18% High Blood Cholesterol 43% 32% Asthma 14% 12% Arthritis 38% 21%
Data Source: 2007 Behavioral Risk Factor Surveillance System, Utah Department of Health.
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Intermountain Healthcare Financial Assistance ProgramMission
• Make care accessible to residents in the communities we serve regardless of race, religion, gender, age, national origin, physical or mental disability, veteran status, or ability to pay.
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Intermountain Healthcare Financial Assistance ProgramTypes of Healthcare Services
• “Medically necessary” includes services for urgent and emergency conditions, for serious illness, or for attempting to rule out serious illness.
• “Generally available” includes basic diagnostic or therapeutic services. Excludes highly specialized, elective, and cosmetic services.
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Intermountain Healthcare Financial Assistance ProgramIncome Qualifications
• At or below 150% of FPL receive full discount and asked to provide a minimum co-pay; and
• Between 150% and 500% of FPL receive partial discount based on progressive scale formula.
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Intermountain Healthcare Financial Assistance ProgramHospital Responsibilities• Provide care in a timely way.
• Deliver care according to the best clinical judgment and medical policy.
• Apply health care resources equitably to those most in need. Encourage patients who can pay to do so.
• Communicate actively the availability of financial assistance to patients through a variety of channels.
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Patient Interview Results, March 2009
How did you learn about the financial assistance program?
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Intermountain Healthcare Financial Assistance ProgramPatient Responsibilities• Complete a financial assistance application accurately
and provide necessary documentation.
• Explore available sources of financial assistance, including government and private assistance programs. Intermountain will help patients apply for assistance from non-Intermountain sources.
• Contribute to the cost of care, based on ability to pay. Patients who are not able to contribute anything will not be required to contribute and will still receive care.
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Patient Interview Results, March 2009
Were the forms easy or difficult to fill out?
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Patient Interview Results, March 2009
Did you have to wait to receive non-emergent care until you had completed the financial assistance paperwork?
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Patient Interview Results, March 2009
How long did you have to wait to get non-emergent care?
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Recent Improvements to Process• Review of “Excluded Services” list; creation of
“Services Requiring Approval” list
• Established central Medical Review Team to assess most complicated cases and ensure equal treatment of patients across the system
• Instituted standard diagnostic services voucher program; community partners prequalify patients for financial assistance
Intermountain Healthcare Financial Assistance Program
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Financial Assistance (Charity Care) & Bad Debt
1999 to 2008
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Thank You