HomeMy WebLinkAboutMINUTES - 10051993 - 2.3 (5) r
2.3
THE BOARD OR SUPERVISORS OF
CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on October 5, 1993 by the following vote:
AYES: Supervisors Powers, Bishop, McPeak and Torlakson
NOES: None
ABSENT: Supervisor Smith
ABSTAIN: None
SUBJECT: Relationship of the County's Health Plan to the Proposed
National Health Plan and Analysis of the "Brady" (gun control) Bill.
The Board received the oral report of the Health Services Director and his staff,
including a slide presentation, with respect to the relationship of the County's Health Plan to
the Proposed National Health Plan, and an oral analysis of the "Brady" (gun control) Bill.
Supervisor McPeak complimented Milt Camhi on his explanation of the CCC Health
Plan that he provided at the forum in San Pablo with Vice President Al Gore.
Board members discussed with staff the impact of guns and violence on the health
plan and health costs and determined to affirm support for the Brady Bill.
IT IS BY THE BOARD ORDERED that the oral report of the Health Services
Director is RECEIVED AND ACCEPTED.
IT IS FURTHER ORDERED that the Board REAFFIRMS its support for the Brady
Bill, and REQUESTS the Health Services Director to report further on the Brady Bill and
Measure B.
I hereby certify that this Is a true and correct copY of
an action taken and entered on the minutes of the
Board of Supervisors a date shown.
ATTESTED:
�.• s- 9 9.3
PHIL BATCHELOR.Clerk ofthe Board
of Supervisors and County
trator
oenuty
cc: County Administrator
Health Services Director
iI
i
SUNDAY SECTION ("
MAY 30, 1993 INSIDE V
......................
JiUSINESSloo..
Jim'Jorgensen
`Data bank 3
Stocks 4 t
Coun takes _m__edi*ca1 risk
Contra Cosa A'
insurance plan f t�
seen as model � : ,. �r�":.�:{:
�� : . ;.�.��•.�:. _ .� .
} } :w
for health care � �.
st
Baly E OUTSCNeaL•:-,r:a '�
'.r
JOYCE R
Stanwrner rlf
ARTINEZ — Talk ,
k about your medical �.
risk:How many health ►.r a
insurers are willing to
cover low-income
pregnant women, AIDS patents, the t
homeless—even bomb haulers at the
Concord Naval Weapons Station? r
The Contra Costa Health Plan does pi
—and makes money at it.
For pore than 20 years this county-
sponsored prepaid health insurance
Ian las been serving the le other
P g PCoP it I
healm insurers won't or can't afford to:
the poor,the uninsured employed,the +t✓ `x ' F
V
rnedicially indigent who make too
muct mons to qualify for ovemment ;�<• �?� .' t
Y 9 fY g
assistance and the unhealthy. t slw
In industry jargon,they are"vulner-
able populations,"and their precarious i
fiOncial situations can wreak havoc BOB LARSORI,mes
Wth the typical health care provider's jAMES SHARKEY,67,of Richmond listens to Dr.Kimberly Duir at the Richmond Health Clinic.
►onom line. But for the last four years
the Contra Costa Health Plan has
turned a profit serving the underserved. Contra Costa Health Plan Members praise {
The plan, that is also open to any CC Health Plan
co
do good things in the community,but
county resident, east year netted $2.2 Net income Not revenues
million on revenues of million."We In thousands of dollars in millions of dollars
we do well financially,'said Executive $2,500r $30 hat do members and those fa-
Director Milt Camhi. "We're really 1 $2,200 miliar with the Contra Costa
Studied
b�by
health rt$ions." 2,000 25 `; =21,5 $24.1 Health Plan think about t
Brenda Hardemam,county employee.
Y S 1500 20 t8.3_. and single mother:"Why did I sign up?
For that reason, the Contra Costa ;' _ in one word, money. It costs me$8 a
plan is being looked to as a model by 1000 $900 15 3r t j month for me and my two children,
10
the state and federal governments tha+ r S7.8_ 'i+. 5 whereas it would cost me$100 a month
are wrestling with the problem of sky- 54u0 0 . at Kaiser.1 had to go a long time with-
rocketing health care costs. 500 1;"• $350 5 . out any health insurance becatue l was
���� t a tem before I of this ob.With two 1
The President's Task Force on 0 i P g j f#
Health Care Reform has been studying ' 0 kids you need insurance, but it's so
how HMOs like Contra Costa's can de- is SO-VO 40-'81 V-112 '82•'93'. 1885-'86 '90-'st 11•112 '82-'93• hard to get."
liver quality care with a set monthly Fiscal year Focal year Lloyd Briley,former county employ.
premium rather than reimbursing doc- 'Estimatedee, health plan member and advisory
tors for every procedure — what is sande:Contra costs Mea"wan vu.HERNANDEZAHODES/Tirms board member: "I've been a member
called managed care. It is one of a since 1984.I can't speak highly enough
handful of HMOs across the country be funneled into HMOs over the next Plan in the black by serving only low- about the medical capabilities. 1 had
that have experience providing univer. two years. The Contra Costa Health income members. Although Medi-Cal, major surgery a year ago and I was ex-
sal care—coverage to all regardless of Plan has been covering Medi-Cal pa. Medicare and other persons whose pre- tremley pleased with my treatment at
income or pre-existing conditions. tients since its inception in 1973;they tniums are subsidized in part or in full Merrithew. The facilities aren't the
"We are a prototype,"said Camhi, account for 44 percent of the 22,348 by the state and federal governments, prettiest,but they didn't want for quali.
Under Clinton health care reform,"The members. make up the bulk of membership,the ty health care."
many HMOs who have chosen not to Says Molly Joel Coye,director of the plan stays profitable by charging full
take bad risks are not going to be able California Department of Health Ser• freight elsewhere. Howard Mitchell, retired physician
to cherry pick. They'll have to reflect vices:"The Contra Costa Health Plan is The "commercial" membership — and former health officer with Placer
the community like we do." going to have the best chances of sur- individuals and businesses that com- County; advisory board member: "It's
Adds Bill Hembree,a Walnut Creek vival in the future when we come to na- prises 28 percent of the total—is"aur an extremely well-run program. By
health benefits consultant:"In terms of tional health care reform because it al- cash cow," according to Camhi. The spreading the risks and with careful
health reform,the Contra Costa Health ready incorporates the principles of plan also includes a substantial number management and cost controls they're
Plan is really kind of leader in terms of primary care and service." of county employees, who pay a re- able to deliver a less-costly product.It
how we go about bringing togetherduced rate. returns more money to the county cof-
large,different groups of people.- Sam
pq In full Since 1985 when it opened mem-the
they are very dedicated. They could fers.I've met some of the providers and
The state of California has named Lest outsiders think Camhi is a min- bership outside of Medi-Cal, the corn- make much more money elsewhere."
Contra Costa County one of 13 pilot acle worker, he is quick to say he
Counties where Medi-Cal recipients will doesn't keep the Contra Costa Health Please see HEALTH,Page 7C Please see PLAN.Page 7C
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SUNDAY SECTION ("
MAY 30, 1993 INSIDE V
...................... 13USINESSIli.►Jim,lo-rgensen.2. ...
1.Data bank 3
Stocks 4 t
Coun takes medi*cal nsk
Contra Costa _
insurance plan
seen as model t;�' J ;✓ : t T; l;,sii;`' i
for health
care : _�•Q,r�ra�:;��'� �,;
$ JOYCE ROUTSCN
Y kms: Y •►'�;.`•L' `'-•'�t�.�
Stall wme,
ARTINE2 — Talk f
about your medical
risk:How many health
insurers are willing to
cover low-income iI
pregnant women, AIDS patients, the 1 I
homeless—even bomb haulers at the 1 l
Concord Ngval Weapons Station?
The Cantra Costa Health Plan does
—and crakes money at it. j
For Pore than 20 years this county-
sponsored prepaid health insurance
plan las been serving the people other
healm insurers won't or can't afford to:
the poor, the uninsured employed,the
medicially 'indigent who make too L',.
much money to quality for government i
assistance and the unhealthy.
industry jargon,they are'wuttter- '
abk populations,"and their precarious i'•
fiOncial situations can wreak havoc sae LFRsoWfimes
Wilt the typical health care provider's JAMES StIlARKE`!,67,of Richmond listens to Dr.Kimberly Duir at the Richmond Health Clinic.
rottom line. But for the last four years
she Contra Costa Health Plan has Members praise 1
turned a profit serving the underserved. Contra Costa Health Plan
The plan, that is also open to any CC Health Plan
county resident, tact year netted $2.2 Net Income Net revenues
million on revenues of co million. but In thousands of dollars in millions Of dollars
w good things is the community,but hat do members and those fa-
Di do well Milt
C financially,"said Executive • b30 [
Director Milt Camhi. "We're really $2.2� � ,1�miliar with the Contra Costa
unique in prepaid health plans." 2,1100 — 25 $24.1 Health Plan think about it?
$21.5 Brenda Hardeman,county employee
Studied by gwsrn nests 1 20 $18.3 1 and single mother:"Why did I sign up?
For that reason, the Contra Costa15 I In one word,money. It costs me$8 a
plan is being looked to as a model by IA00 $900_ Y s i month for me and my two children,
the state and federal governments that r 10 _ ?-6 ? ; whereas it would cost me$100 a month
are wrestling with the problem of sky- $460 't'.. `' '' " >',�r. 1 at Kaiser.I had to go a long time with•
rocketing health care costs. 500 :' X50" 5 - - out any health insurance because I was
t e temp before I got this job.With two
The President's Task Force on 0 -] :++I. 0 1 kids you heed insurance, but it's so
Health Care Reform has been studying hard
how HMOs like Contra Costa's can de- 1969-'90 90-'91 '91•'92 92.93'. 1985-'86 '90-9to'91-'92 92-'93' get."
liver quality care with a set monthly • - Fiscal year Fiscal year Lloyd Briley,former county employ
premium rather than reimbursing doc. 'Estimated ee, health plan member and advisory
tors for every procedure — what is sowee:Corin.Coati H&A"Ram VAL HERNANDEZFHDDES/Timcs board member: "I've been a member
called managed care. It is one of a since 1984.1 can't speak highly en ugh
e
handful of HMOs across the country be funneled into HMOs over the next Plan in the black by serving only low- about the medical capabilities. 1 had
that have experience providing univer- two years. The Contra Costa Health income members. Although Medi-Cal, major surgery a year ago and I was ex-
sal care—coverage to all regardless of Plan has been covering Medi-Cal pa. Medicare and other persons whose pre- tremley pleased with my treatment at
income or pre-existing conditions. bents since its inception in 1973;they trtiums are subsidized in part or in full Merrithew. The facilities aren't the
"We are a prototype,"said Camhi, account for 44 percent of the 22,348 by the state and federal governments, prettiest,but they didn't want for quali-
Under Clinton health care reform,"The members. make up the bulk of membership,the ty health care."
many HMOs who have chosen not to Says Molly Joel Coye,director of the plan stays profitable by charging full
take bad risks are not going to be able California Department of Health Ser• freight elsewhere. Howard Mitchell, retired physician
to cherry pick. They'll have to reflect vices:"The Contra Costa Health Plan is The "commercial" membership — and former health officer with Placer
the community like we do." going to have the best chances of sur- individuals and businesses that com- County; advisory board member: -It's
Adds Bill Hembree,a Walnut Creek vival in the future when we come to na. prises 28 percent of the total—is"our an extremely well-run program. By
health benefits consultant:"In terms of tional health care reform because it al- cash cow," according to Camhi. The spreading the risks and with careful
health reform,the Contra Costa Health ready incorporates the principles of plan also includes a substantial number management and cost controls they're
Plan is really kind of leader in terms of primary care and service." of county employees, who pay a re- able to deliver a less-costly product. It
how we go about bringing together duced rate. returns more money to the county cof-
Sonis pay In full fers.I've met some of the roviders and
large,different groups of people." Since 1986 when it opened up mem- P
The state of California has named Lest outsiders think Camhi is a mir- bership outside of Medi-Cal, the com- they are very dedicated. They could
Contra Costa County one of 13 pilot acte worker, he is quick to say he make much more money elsewhere."
counties where Medi-Cal recipients will doesn't keep the Contra Costa Health Please see HEALTH,Page X Please see PLAN,Paqe X
2A—Contra Costa Times E4 Tuesday, June 8, 1993
TAKE TWO
Last week, in a waiting room at the hospital's Family
ti� Practice Center, most of the patients said they've never
+. heard of health-care reform.
The welfare mother with five kids and an out-of-
T AFTERWORDS work husband with a bad back doesn't know a primary-
care physician. But she praises her little girl's pedia-
trician.
_ A young father-to-be, a limo driver without health
care benefits, doesn't talk of managed care. But he
doesn't know how his family could manage to get i
through this pregnancy without the county hospital.
Model health care The center staff, which sees about 200 people a day,
doesn't think health care reform would change much at
Merrithew.
is already in' Place , The county hospital already runs on the soon-to-be-
trendy primary care model,where patients are assigned
Examining the nation's health care system is about one doctor to care for all their needs.
as appealing as the stomach flu. The doctor who sees the pregnant woman could be
The epidemic of inadequacy that plagues our i the same one who treats her cold symptoms and serves
current system has been festering for years. It took a her baby and husband, and elderly parents as well.The I
middle-class recession to make us really care about family doctor decides if a patient needs to see a spe-
changing it. Downsizing and bottom-line thinking have cialist.
produced a record 37 million Americans without insur- This is how Merrithew runs the county's own em-
ance to pay for doctors, hospitals and medicine. Anoth- ployee health plan, a financially successful HMO open
er 22 million Americans are underinsured. 4 to all county residents and businesses.About --percent i
The Task Force on National Health Care Reform, of the county plan members are state-supported Medi-
headed by Hillary Rodham Clinton, has been working Cal patients.
on a new and improved system. The final plan, which Dedicated staff
was expected to be unveiled this month, has been put
on hold while the president and Congress deal Saddled with an aging campus of leaking buildings,
with the national budget. shrinking public funding and a patient population from
We may not see the conclusions for several months. the poorest neighborhoods and the county jail, the
But pieces of the new health care puzzle keep popping county hospital has learned to make ends meet. At the
up in the news. The previews, so far, have infected same time,this public institution has coupled cost-effec-
many with bouts of premature skepticism and fear. tiveness with heavy doses of caring from a dedicated,
Managing care almost zealous, staff of doctors, nurses and administra-
tors.Their definition of preventative care includes mak-
For starters, providing health care to the uninsured ing sure an elderly patient who lives in his car gets
and underinsured will cost $30 billion to $100 billion a clean clothes and a shower when he comes for an ap-
year. We don't know exactly how that will be raised. pointment. People who are hungry get fed, sometimes
A national sales tax? Not likely. Sin taxes on booze with money out of a doctor's own pocket.
and tobacco?Still possible. New payroll deductions of 2 Once the Clinton administration releases the task
to 3 percent for workers, with a 7 percent employer- force findings, the promised health care overhaul will
paid tax? A bitter pill to swallow. likely go through many incarnations.The biggest obsta-
Aside from the wicked question of who should pay cles to reform are clearly the attitudes of doctors and
how much, the reform debate has conjured up images patients and the willingness of government to mandate
of a whole new breed of health care. change of the ailing system.
Most likely the new system will rely on some version . Transfusing a little bit of the county hospital's know-
of managed care, an HMO-arrangement in which con- how and attitude into the nation's $900 billion a year
sumers pay a set monthly fee but are restricted to a cer- health care industry could be part of the cure.
tain group of doctors and hospitals.
Primary-care physicians — reincarnations of the old Donna Hemmila's Aflerwords appears every other Tues-
family doctor—will replace expensive specialists as the day to take another look at the people, places and is-
doc-of-first-resort to cure what ails us. Preventative sues in the news. If you have a suggestion on where we
medicine will play a new important cost-saving role. Should focus, write Afl:erwords, P.O. Box 5088, Walnut
Oddly enough, these innovative, miracle-working I Creek 94596 or fax your ideas to 510/933-0239.
concepts have been in practice for years at Merrithew
Memorial Hospital, the ramshackle county hospital in
Martinez.
Garamendi touts managed care
Richmond forum addresses concerns regarding health plans
By DONNA WASICZKO �y John employers, but it is still linked to
start writerGaramwd employment, because only those
with jobs will be able to afford it."
RICHMOND — West County The state Washington was one of many
folks disgusted with the health care s insurance who expressed concerns about
system greeted California Insurance '' ` commissioner where the homeless, the mentally
Commissioner John Garamendi en- proposed a ill, the disabled and undocumented
thusiastically Tuesday, but some health plan that immigrants fit into Garamendi's
said even his reforms might not go may become a plan.
far enough to help them. model for the Those who are not covered by
About 50 people — many of nation the plan will fall into a "safety net,"
them senior citizens — attended a Garamendi assured them, but pro-
community forum led by Garamendi commissioner. He proposed the Cal- vided little elaboration.
at the Richmond City Council cham- ifornia health plan that will likely Under the new proposal,all legal
bers Tuesday night.The"town hall" serve as a national model. At the citizens of the country would be eli-
MTe meeting,, similar to those held heart of the questions was the fear f;l�1c for coverage under acost-ef•
by Presidcni Clinton, was designed that some will be left out of the fective, managed care health plan.
to allow infoi rrmai give-and-take be- health care program that is sup- The plan would do away with costly
tween the policy-makers and the posed to provide treatment for all. duplications of insurance coverage,
general public. "I think, if this goes into effect, like worker's compensation and
After Garamendi's initial over- there's going to be people thrown auto injury coverage.
view and coi--eras from a panel of out of the system just like they are The federal government would
local health. (ji);Aovmcnt and com- now," said Belinda Washington, define a guaranteed benefits pack-
munity experts, O,,h, a handful of who advocates for Medicare pa-
po -.le had timc t� h:sestion the tien;'. "This plan is not linked to Plea^e see GARAMENDI,back page
• • to panelist Mili Camhi,executive di. Six milliun, ur 25 percent,of Cal-
1 timendl rector of the health plan. "In the ifomians do not have medical cover-
past, I've described your organiza- age, and employers who do provide
FROM PAGE 1A tion as a model for things that will benefits are spending about 15 to 20
be done across the nation." percent of their personnel budget
age that is standard for all. and a Carol Kiecker,vice president and on them, Garamendi said. But the
federal health board would monitor regional administration for the Kai- new plan would cost participants
quality of services. ser Foundation, said her company just about 7.5 percent of their pay.
Participants could choose their learned years ago that managed "That's money that stays in our
own plan and would have a yearly care makes good health and fiscal pockets," he said. "We can go and
option to change to another- Cover- sense. buy a new American-made car."
age would not be obtained through "The more we keep the patients
employers but would be accessible well, the better off we'are financial-
directfy by individuals through the ly," Kiecker said.
government, which would contract Garamendi began the forum
with private health care facilities. Tuesday by asking audience mem-
The commissioner credited Kai- bers to give one or two word de-
ser Permanente and the Contra Cos- scriptions of their major concerns.
to County health plan with recogniz- They responded with a laundry list,
ing the drawbacks of fee-far-ser-Oce citing— among other ills—lack of
health care and becoming pioneers access, exclusion from coverage of
in the field of managed care. those with pre-existing conditions,
"The Contra Costa Health Plan escalating costs, poor quality con-
ha, been way out in front . ..for the trot, unfair billing and inadequate
last two decades." Gnr;;— ''� --`1 provisions for long-term care.
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i
McPeak urges `wellness' discounts
Bay city News service wellness programs,for staffers.
McPeak said the proposal so far
MARTINEZ — County Supervi- contains no provisions to encourage
sor Sunne McPeak said Thursday healthy behavior. She said such an
the Clinton plan for health insur- incentive could slash the cost of
ance should include discounts for medical care because about half of
workers and employers who follow expenditures are related to smok-
or promote healthy lifestyles. ing, drug abuse,:rNproper diet and
McPeak plans to ask fellow su- lack of exercise.
pervisors Tuesday to adopt a recom- Richard Harrison, director of
mendation to Clinton and Congress provider affairs for the Contra Costa
for a 'wellness incentive" to reduce Health Plan, said the county-run in-
health-plan rates for workers who surance program offers lower rates
exercise, eat right and don't smoke. to employees and other worker
The rate break also would be ex- groups whose overall percentage of
tended to employers who provide mhokers is lower than average.
SOME HIGHLIGHTS OF THE PRESIDENT'S SPEECH
• "Despite the dedication of literally millions of talented
healthcare professionals, our healthcare system is too
uncertain and too expensive, too bureaucratic and too
wasteful. It has too much fraud and too much greed. At long
last, after decades of false starts, we must make this our most
urgent priority, giving every American health security -
healthcare that can never be taken away, healthcare that is
always there."
• "For the first time in this century, leaders of both
political parties have joined together around the principle of
providing universal, comprehensive healthcare. It is a magic
moment, and we must seize it."
• "So let us agree on this: Whatever else we disagree on,
before this Congress finishes its work next year, you will
pass, and I will sign, legislation to guarantee this (healthcare)
security to every citizen of this country."
cos''rf40trfl4 c
�v
A
MILT CAMHI
Executive Director
CONTRA COSTA
HEALTH PMN
595 Center Avenue
Suite 100
Martinez, California 94553
510 313-6004
510 313-6002 FAX
COMM COSTA
_ HEALTH PLAN
:
n ��a os
a
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t.;a
th
H d P- lan-
an
... ,C ,e -th- areRe. o -M ' � .
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October 1993
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--------------
1.3
Contra Costa Health Plan:
Serving the Contra
Costa Community's
Need
forAccess
to
Affordable Quality
Health Care
Services
1.4
Contra Costa Health Plan has:
Prepaid
Primary Care Based
Public Hospital Centered
Public Health Focused
Prevention Oriented
System of Care
1.5
WR9F•
Pign��e5'�eringPrepaid History
:1973 First county-sponsored plan in California to sign prepaid Medi-Cal con-
tract
1976 First county-sponsored plan in nation to have prepaid Medicare j
contract
I
i
1980 First county-sponsored HMO in nation to receive federal qualification
First county-sponsored HMO in California to enroll Medically Indigent
1983 Adults (Medically Needy BACs) into prepaid plan
First federally qualified prepaid plan in nation to give non-smoking dis-
1987 count to groups
I
First prepaid plan in Northern California to offer"For Kids Only" and
:1988 single parent premiums
First county-sponsored prepaid plan to participate in California's Major
1991 Risk Medical Insurance Program for uninsurables
i
First HMO in the nation to manage the homeless in a prepaid
health plan
First prepaid plan in Northern California to offer"On Your Own" (young
i
adults ages 19-24) premiums
First county-sponsored plan to participate in California's Access for
1992 Infants and Mothers (AIM) Program for low income pregnant women
I
First county-sponsored plan to participate in California's Small Business
1993 Purchasing Pool (Health Insurance Plan of California or HIPC)
i
�I
1.6
County
M.D.s
Merrithew County
Memorial Health
Hospital nters
Contra
Costa
Health
Plan
Contra Costa Health Plan is part of an integrated
County sponsored system of care. Together, the
Health Plan, the county hospital and clinics, and
county physicians are the safety net for the under-
served residents in the community.
1.7
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2.3
Managed
Lessons Learned
Contra Costa Health Plan members have equal access to the same
high quality health care system. Yet our managed care experience
reveals that on average . . .
A typical Medi-Cal (AFDC) member uses the emergency
room more than twice as often as a commercial member such
as county employee
'� And a typical medically indigent adult uses primary care
three times as often and a senior uses almost three and a half
times as much pharmacy services
Seniors on Medi-cal will use almost 4x as much specialty care
A Medi-cal recipient who is blind or disabled will use almost
7x as much inpatient hospital services
A SeniorHealth Plan member typically needs 10 times as
much acute hospital services
And AIM mothers have 25 times as much inpatient care
2.4
NATI$NAL HEALTH
CARE REFORM
r Security
-I r Simplicity
r Savings
-i r Choice
r Quality
-i r Responsibility
2.5
{
CONTRA COSTA
Clintons Plan HEALTH PLAN
Security Security
Proposes universal access: CCHP now offers almost
Security of guaranteed universal access to the
health coverage for all uninsured, under-insured,
legal residents of U.S. and uninsurable in Contra
Costa County. Merrithew
Memorial Hospital and
Clinics is provider of last
resort.
Proposes no denial of CCHP now offers cover
coverage because of age without regard to
health, employment or medical conditions for
financial status, age, Medi-Cal, Medicare,
medical condition BAC, Small Businesses,
large Businesses,
MRMIP, AIM.
f
Milt Camhi holding Contra Costa Health Plan Card
2.7
COATRA
Clinton's Plan HEAL771 PLANA
Simplicity simplicity
Proposes streamlining CCHP now offers one
insurance complexities Health Plan card for all
and redundancies members
Proposes reducing CCHP administration
administrative costs costs lower than national
average for similar sized
HMOs
Requires standard CCHP members enjoy
simplified forms for reim- practically no paperwork
bursement claims
Proposes reducing dupli- CCHP will need to coor-
cation and waste in auto dinate auto and workers'
and workers' compensation compensation in a seam-
less 24-hour system
of care
2.8
No Paper Work
r
WON
tir �
i
i
i
I
i
For on ra Costa
ealth Plan Members .
2.9
COATM
Clinton's Plan H MAN
PLA
Savings Savings
Proposes consumers pay Most CCHP members
less for low-cost plans and already have several plans
more for high-cost plans, to choose from to fit their
creating incentives for budget, encouraging cost-
cost-conscious choice conscious choice
Proposes health plans In CCHP today there are
have incentives to spend no incentives to overtreat
resources cost effectively or undertreat patients;
primary care M.D.s on
salary; specialists on flat
fee
r Proposes subsidies for low CCHP currently offers
income individuals and special pricing for child-
small business ren, young adults, single
parents, young families,
medically needy, AIM,
and small business
Proposes community CCHP has been comm-
rating unity rated since 1980
l
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2.11
CONTRA COSTA
Clintons Plan HEALTH PLAN
Choice Choice
Proposes choice of health CCHP is currently offered
plan offered through a to small businesses
health alliance pool through a purchasing
pool
Proposes consumers can CCHP plan offers cover-
choose their own health age certified to meet fed-
coverage erally qualified Knox-
Keene licensed require
ments
Proposes choice of doctor Members can choose
from a staff of more than
120 physicians
2,12
:j
cl:lo
m '0110
40
7
G C•,� A
- 'R' .:.•www.
•
e the
n game �
. ton ala
the �11� ctor
ought h
to do
1 th Dose
t ch �
Tig1�, .
nat a ;31 -cob—
2.13
1 decided to only
With CCHP 1 had buy coverage just
a choice of 3 Medi- for my child
.�Kr care plans
1
A Ir
VI
{ k
SENIOR I could choose between
2 plans for,young adults
FOR KIDS ONLY
J� 1'Ve all chcase our own
fdoctors from Contra
Costa County's Staff
I
i
I
OWN Y )UR OWN
I could choose be-
tween 4 CCHP plans d
tl for small businesses
/ I
I
i
i
m I
.I
SMALL BUS : ESS
2.14
Clinton's Plan HE4LTH PSA
Quality Quality
Proposes explicit quality CCHP has extensive
goals and standards Quality Assurance and
Peer Review systems an
nually audited by State
and Federal regulatory
agencies
Proposes health plans be CCHP has continuous
held accountable for Quality Management
quality improvement Systems in place
Proposes regular publica- CCHP conducts regular
tion of accessible inform- member satisfaction
ation about quality and surveys and hospital exit
cost surveys
Member Satisfaction
Survey
Satisfaction with Health Centers
91% of members expressed overall satisfaction
94% of members are satisfied with medical care
Satisfaction with Merrithew Inpatient
90% of members are satisfied
Satisfaction with Staff
97% of members are satisfied with nursing staff
96% are satisfied with nurse practitioners
95% are satisfied with M.D.s
95% are satisfied with reception/clerical
i
Overcall Satisfaction with Health Plan
95% of members are satisfied and are planning to stay
i
2.16
f
CONTRA COSTA I
Clintons Plan HEALTHPLAN
Responsibility Responsibility
Proposes making available to members CCHP currently provides members
information on cost, qualifications and with complete and accurate informa-
availability of providers, rights and tion on cost, qualifications and avail-
responsibilities of patients ability of providers,rights and respon-
sibilities of patients
Proposes a grievance procedure CCHP grievance procedures
already in place
Proposes having an Advisory CCHP's HMO Advisory Board advises
Board in place the governing body,the Board of
Supervisors
Proposes members help control CCHP members encouraged to share
utilization in partnership with the plan responsibility through copayments,
lifestyle adjustments.
Primary care providers and
Advice Nurses help members
control utilization
Proposes using primary care In CCHP family practice-based
physicians primary care providers direct
members' care
Proposes that consumers take First HMO in nation to use smoking as
responsibility for protecting and a risk factor for groups
promoting health
Lifestyle factors such as smoking, seat
belts, weight and exercise are currently
used in adjusting small group rates
Proposes all consumers contribute SeniorHealth, individuals, small and
to cost of care large group members all contribute to
the cost of their care
2.17
T.q,,.,.king
Our Own ealth
r_
--------------w----------� J_I _
NO
SMOKING
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2.19
Health Reform Changes
From Unmanaged Care wma�RF To Managed Care
Acute Inpatient Care System Of Care
Treating Illness Maintaining Wellness
Caring For Individual Accountable For
Patients Health Status of
Defined Populations
FFS Capitated
Specialty-Oriented mary Care
2.20
Health Care
Model System
USA Today Canada CCHP
Good ✓ ✓
Cheap ✓ ✓
Fast ✓ ✓
Universal ✓ ✓
F V 09:9
C
IL
AR
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2.28
etters totheditor
West County Timm February 9,1992
A health plan that works
I am well aware of the health
insurance crisis in the united States. I
am also aware of at least some help for
residents of Contra Costa County. It is
I am well aware of the
health insurance crisis in the
united States. I am also aware
of at least some help for resi-
dents of Contra Costa County.
It is the Contra Costa Health
Plan.
pos-
er for
everyone, but it certainly does answer
the problems for many.
Bob Holden Sr.
San Pablo
Credits '��
L id '
Editor
I
Bich
� Jean
Grar es�gC► �
Iproc1uction I�i
� brls .Verdug° .I
Video : . r�uction �I