A Celebration of Childrens Health #RIteCareWorks November 14, 2016 - - PowerPoint PPT Presentation
A Celebration of Childrens Health #RIteCareWorks November 14, 2016 - - PowerPoint PPT Presentation
A Celebration of Childrens Health #RIteCareWorks November 14, 2016 Uninsured Children United States & Rhode Island U.S. RI 15 th 12% Best 10% 8.6% 8.0% 7.5% 7.2% 7.1% 8% 6.0% 6% 4.8% 5.6% 5.4% 5.4% 4% 4.5% 4.0% 3.4%
Uninsured Children United States & Rhode Island
Source: US Census Bureau, American Community Survey, 2009-2015. Table R2702. Data are for children under 18 years of age.
8.6% 8.0% 7.5% 7.2% 7.1% 6.0% 4.8% 5.4% 5.6% 4.0% 4.5% 5.4% 3.3% 3.4%
0% 2% 4% 6% 8% 10% 12%
2009 2010 2011 2012 2013 2014 2015
U.S. RI
15th Best
123,000 125,000 121,000 117,000 107,000 108,000 113,000 56,000 58,000 62,000 62,000 66,000 70,000 64,000 22,000 21,000 19,000 19,000 19,000 18,000 18,000 12,000 12,000 9,000 10,000 12,000 7,000 7,000
20,000 40,000 60,000 80,000 100,000 120,000 140,000
2009 2010 2011 2012 2013 2014 2015
Source: Rhode Island KIDS COUNT analysis of the U.S. Census Bureau, American Community Survey, Table B27010, 2009-2015.
How are RI Children Covered?
Combo/ Other
RIte Care WORK
Without Insurance
Uninsured Children in Rhode Island by Race & Ethnicity
1.1% 2.1% 7.1% 7.7% NA 1.6% 7.0%
0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0%
Asian White Other Black or African American Native American White, non- Hispanic Hispanic
Source: RI KIDS COUNT analysis of the U.S. Census Bureau, American Community Survey, Table B27001A, B27001B, B27001D, B27001F, B27001H, B27001I, 2015.
HealthSource RI Connecting Children and Families to Coverage
25,767 30,001 34,888 48,602 60,547 57,876
10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90,000 100,000
2014 OE 2015 OE 2016 OE
Individual Market Commercial Coverage Medicaid Coverage
Source: HealthSource RI Open Enrollment Reports, 2014-2016
74,369 90,548 92,764
Rhode Island’s Achievements In Children’s Health
Teen Deaths (1st) Adolescent Cigarette Use (1st) Childhood Immunization (1st) Infant Mortality (3rd) Child Deaths (4th) Preventive Dental Care (5th)
We lead the nation in many children’s health
- utcomes.
Rhode Island’s Achievements In Children’s Health
Teen Births (7th) Adolescent Obesity (7th) Adolescent Alcohol Drinking (8th) Adolescent Overweight (9th) Preterm Births (12th) Children’s Health Coverage (15th) Low Birthweight Infants (15th)
RIte Care’s National Excellence
RIte Care is a Top Quality Performer in all three health domains of child health measures
2015 Annual Report on the Quality of Care for Children in Medicaid and CHIP. (2016). Rockville, MD: U.S. Department of Health and Human Services. RI ranks in the top quartile in the Medicaid Child Core Set across numerous measures.
Primary Care Access and Preventive Care Maternal and Perinatal Health Children’s Behavioral Health
RIte Care Health Plans Receive Top Ratings Among Medicaid Health Plans in the U.S. (2 of 15 in U.S. rated 4.5 or higher)
4.5/5.0
Source: 2016 National Committee on Quality Assurance Rankings. 293 Medicaid Health Plans were evaluated and 171 were rated based on clinical performance, member satisfaction, and NCQA Accreditation.
RIte Care:
Cost-Effective and High-Quality Care
93% pregnant women received timely prenatal care.
Declines in delayed prenatal care have
- ccurred over the past
decade among pregnant women with RIte Care.
RIte Care Works for Pregnant Women
Sources: Rhode Island Department of Health, Maternal and Child Health Database, 2004-2014. Monitoring Quality and Access through the Performance Goal Program. (2016). RI EOHHS.
RIte Care Works for Babies
Low birthweight rates have declined among babies with RIte Care coverage from 8.7% to 8.2% over the past 15 years. Infant mortality rates have remained steady among babies with RIte Care (6.5 to 6.8) over the past decade & remains well below the uninsured rate of 19.1 per 1,000 live births.
Source: Rhode Island Department of Health, Center for Health Data and Analysis, Maternal and Child Health Database, 2000-2014.
RIte Care Works for Children
Primary Care Visits in 2015
- 94% of infants and toddlers
- 93% of preschool and early elementary
school-age children
- 97% of preteens
- 96% of teens
Source: Monitoring Quality and Access through the Performance Goal Program. (2016). Cranston, RI: RI EOHHS.
RIte Care Works for Children
- Lead poisoning screening (83%)
- Physical activity counseling (72%)
- Nutrition counseling (82%)
- Body Mass Index assessed (85%)
Source: Monitoring Quality and Access through the Performance Goal Program. (2016). Cranston, RI: RI EOHHS.
Screening and Counseling in 2015
RIte Smiles 10th Anniversary
What is RIte Smiles?
- Rhode Island’s managed oral
health program for children (born since May 1, 2000) with RIte Care and other Medicaid coverage.
- Launched in 2006
RIte Smiles Enrollment
95,737 children (45% of all children under age 18 in RI) are enrolled in RIte Smiles in 2016.
31,000 95,737
20,000 40,000 60,000 80,000 100,000 120,000 06 07 08 09 10 11 12 13 14 15 16
RIte Smiles Enrollment Growth
Rhode Island Executive Office of Health and Human Services Enrollment Reports, 2006-2016
RIte Smiles Works for Providers
27 90 359
50 100 150 200 250 300 350 400
2005 2006 2015
Participating Dental Providers
Sources: Rhode Island Executive Office of Health and Human Services Enrollment Reports, 2005-2016. RIte Smiles: Annual external quality review technical report, Reporting Years 2014-2015. (2016). New York, NY: IPRO
26%
FQHC
30%
Hospital- Based
44%
Private Practice Encounters by Provider Site, RIte Smiles, 2014
N = 42,142 unique enrollee encounters
RIte Smiles Quality Performance
Source: RIte Smiles: Annual external quality review technical report, Reporting Years 2014-2015. (2016). New York, NY: IPRO
Annual Dental Visit, RIte Smiles 2014
Age Utilization National Benchmark Met/Exceeded 2-3 42% 50th 4-6 65% 50th 7-10 70% 50th 11-14 66% 75th 2-14 63% 75th
Access to Oral Health Care for Children with Medicaid Coverage
29.3% 49.7% 36.0% 48.8%
0% 10% 20% 30% 40% 50% 60%
00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
U.S. RI
Source: Children’s use of dental care in Medicaid: Federal Fiscal Years 2000-2012, (2014). Washington, DC: The George Washington University & CMS 416 Form 2000-2015. Includes children ages 1-20, for any dental service.
33rd Best
Access to Oral Health Care for Children with Medicaid Coverage
Source: Children’s use of dental care in Medicaid: Federal Fiscal Years 2000-2012, (2014). Washington, DC: The George Washington University & CMS 416 Form 2000-2015. Includes children ages 1-20, for any dental service.
32,201 43,062 60,289 10,000 20,000 30,000 40,000 50,000 60,000 70,000 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15
Number of Children Receiving Any Dental Care
RIte Care & RIte Smiles Work!
- RIte Care has been a national
model of comprehensive, cost-effective coverage for 20+ years.
- Well-documented, positive,
sustained health outcomes.
- Affordable investment in the
health of Rhode Island’s children and families.
Health Policy Changes are Ahead
Key Affordable Care Act Provisions
- Medicaid Expansion
- HealthSource RI
- Essential Health Benefits for
children, including dental benefits
- Coverage until age 26 on parents’
plan
- Medicaid coverage for former foster
youth up to age 26
- Pre-existing condition protection
- Annual and lifetime limits
prohibited
- No-cost preventive care
- Individual mandate
And more….
Our Collective Charge
- Advocate for strong reauthorization
- f CHIP at the federal level.
- Continue our strong state
leadership and advocacy on health coverage.
- Maintain our commitment
to connecting families to comprehensive and affordable coverage.
- Cover all kids
- 97% are covered
- 100% is within our reach