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Jillians slides for 12 9 11 ccpd final
1. HEALTHCARE REFORM
JILLIAN JACOBELLIS PH.D., MS
COLORADO DEPARTMENT OF PUBLIC HEALTH AND THE ENVIRONMENT
MOVING CHRONIC DISEASE PREVENTION FORWARD IN AN ERA
OF REFORM
12. COVERAGE AFTER IMPLEMENTATION OF THE
FEDERAL ACT IN COLORADO
800,000
258,000
175,000
153,000
214,000
Source: Colorado Health Institute, “Helping
communities prepare for health reform:
Coverage estimates of Coloradans after
implementation”
13. COLORADANS, AGE 0-64, BY INSURANCE STATUS
Medicare
1.4% Other private
insurance
Medicaid 9.2%
9.4%
Will be eligible for
federal subsidies
34.1%
Ineligible for
Uninsured subsidies*
17.5% 21.7%
Employer-sponsored Will gain eligibility
insurance (Medicaid/CHP+)
62.5% 30.4%
Currently EBNE
(Medicaid/CHP+)
13.7%
*Ineligible for subsidies includes
undocumented non-citizens,
documented non-citizens in the US
for less than 5 years, and citizens
Source: CHI analysis of the 2009 American Community Survey and non-citizens >400% of FPL
14.
15. POST REFORM INSURANCE STATUS BY FPL
600,000
500,000 12%
18%
400,000
401% and greater
300,000 31% 251 to 400%
134 to 250%
9%
12% 0 to 133%
200,000
28%
100,000 39%
51%
-
Newly insured 543,000 Remaining uninsured 258,000
Source: Colorado Health Institute, “Helping communities prepare for
health reform: Coverage estimates of Coloradans after implementation”
17. 1. Aspirin chemoprophylaxis
2. Childhood immunization series
3. Tobacco use screening and brief
intervention
PRIORITIES 4. Colorectal cancer screening
AMONG 5. Hypertension screening
EFFECTIVE 6. Influenza immunization
CLINICAL 7. Pneumococcal immunization
PREVENTIVE 8. Problem drinking screening and brief
counseling
SERVICES
9. Vision screening – adults
10. Cervical cancer screening
Maciosek MV, et al. Priorities among effective clinical services: results of a systematic review and analysis. Am J prev
Med 2006;31:52-61
18.
19. CDC EXPECTATIONS OF STATES
Chronic Disease Prevention Programs:
•Leadership
•Surveillance and Epidemiology
•Communication and Media
•Policy and Environmental Change
•Engagement with health systems
•Provide TA to communities.
•Address multiple CDs and risk factors
simultaneously