Healthcare Funding Trends. The Affordable Care Act

Transcription

1 The Affordable Care Act and Healthcare Funding Trends Elizabeth Burton, National Director Laura Lundahl, Area Grant Manager

2 Healthcare Funding Trends The Affordable Care Act 2

3 ACA History March 2010 President Obama signed into law, creating: Patient Protection and Affordable Care Act (Public Law ) Health Care and Education Reconciliation Act of 2010 (Public Law ) Together, commonly known as the Affordable Care Act of 2010 (ACA) Relies heavily on local and state implementation via passthrough of federal funding Major provisions will be implemented in phases with most implemented by

4 ACA Major Provisions Insurance company accountability Lowering costs and improving quality Increasing access and choice Patient rights and consumer protections 4

5 Federal ACA Funding by Program Category Total of $12.1 billion in funds received since passed into law. Employers/Business 47.3% Workforce and Training 4.2% Maternal and Pregnancy 4.3% Health Care Facilities i Prevention and and Clinics Public Health 1.9% 4.3% Health Centers 8.1% Private Insurance and the Exchange 21.8% Medicaid and Medicare 8.2% SOURCE: KFF Analysis of ACA Funding, April 2, KFF Federal Funds Tracker - Grants 5

6 ACA Impact on Grant Funding Focus Areas More than $22 billion for demonstration projects, pilot programs and other grants Funding incentivizes multi-stakeholder partnerships A focus on projects that test new and innovative ideas Improving the quality and delivery of healthcare Improving public health infrastructure Creating patient-centered health initiatives Prevention of chronic disease and improving public health Reduce ethnic and racial disparities in healthcare Creating a highly trained healthcare workforce 6

7 ACA Grant Funding Awarded to States* Health Insurance Exchange Health Insurance Market Health Care Workforce Public Health Investments $638,390,137 $177,893,880 $231,997,215 $675,085,013 Health Insurance Exchanges Planning and Establishment Grant Early Innovator Cooperative Agreements to Support Innovative Exchange Information Affordable Insurance Exchange Establishment Grants Health Insurance Exchange Establishment Grants (2012) Health Insurance Premium Review Grant Program Cycle 1 Health Insurance Consumer Assistance Grant Program Health Insurance Premium Review Grant Program Cycle 2 Demonstration Project to Provide Low Income Individuals with Opportunities to Address Health Professions Workforce Needs Grant Personal and Home Care Aide State Training Program Grant Teaching Health Centers that Offer Graduate Medical Education Programs Tribal, Maternal, Infant and Early Childhood Home Visiting Program Grants Abstinence Grants Teen Pregnancy Prevention and Personal Responsibility Education Program Grant Pregnancy Assistance Fund Family to Family Health Information Centers Prevention Center for Healthy Weight School-Based Capital Program State Prevention Grant Health Improvement/Local Capacity Maternal, Infant and Early Childhood Home Visiting Program Grant Funding School Based Health Center 7

8 ACA Grant Funding Awarded to States* Public Health Prevention Investments in Long-Term Care Investments in Fund Community Research, Data Health Centers & Development $611,780,495 $797,780,259 $122,199,261 $1,075,105,025 Public Health Training Center Grant State Healthcare Workforce Development Grant Primary Care Residency Expansion Program Grant Advanced Nursing Education Expansion Program Grant Nurse-Managed Health Clinics Grant Expansion of Physician Assistant Training Program Grant Public Health Improvement Program Grant Community Putting Prevention to Work Grant Public Health Infrastructure: t CDC/HRSA Capacity Grant Community Transformation Grants HIV Prevention Tobacco Cessation Epidemiology and Lab Capacity Primary and Behavioral Health Integration Promoting Health Weight Capital Development in Health Centers Grant Health Center Technical Assistance Training Grant Future Health Center Planning Grants Health Center Beacon Grants Health Center New Access Points Grants Quality Improvement and dpatient tcentered Medical Home Grants National Background Check Program Grant Grants Related to Aging and Disability Assistance Money Follow the Person Rebalancing Demonstration Grants Grants to Help Consumers Navigate Long Term Care Options o Medicare Outreach and Assistance in Low Income Programs o ADRC Options Counseling Grants o Evidence Based Care Transition Grants State Health Professional Grants Therapeutic Discovery Project Program Tax Credits and Grants Infrastructure to Expand Access to Care Programs 8

9 State Distribution of ACA Grant Awards* ALASKA 22 Total Awarded to States and D.C. $4,330,231,285 CA HAWAII 36 OR WA NV 28 ID 25 AZ UT MT ND MN WY 20 CO NM SD NE 24 KS 25 OK 29 WI MI 23 VT NY 23 NH ME IA 37 PA CT 27 NJ OH 33 DE IN IL 35 MD 29 WV DC VA NJ 33 MO 31KY 32 DE NC 35 MD 32 AR TN AL GA SC TX LA MS FL 34 DC MA 38 RI *Source: National Conference of State Legislatures, February

10 Impact on States California* $ 1million in Planning Grants $39.4 million in Exchange Establishment Grants $90.6 million from the Prevention and Public Health Fund $10 million for Health Professions Workforce Demonstration Projects $1.5 million for Personal and Home Care Aide State Training Program $15.7 million for School-Based Health Centers $30.3 million for Maternal, Infant and Early Childhood Home Visiting Programs $4.1 million for Physician Assistance Training Program *This list is not all-inclusive. A complete list of grant awards by state can be found at 10

11 Impact on Community Health Centers ACA authorizes $9.5 billion to the Community Health Centers Trust Fund for the purpose of expanding the CHC s operational capacity to serve 20 million new patients and enhance medical, oral and behavioral health services $1 billion for FY2011 $1.2 billion for FY2012 $1.5 billion for FY2013 $2.2 billion for FY2014 $3.6 billion for FY2015 Also authorizes $1.5 billion over five years to expand CHC s capital needs by expanding and improving existing facilities and constructing new sites Source: Tonya Bowers, Chief, Health Center Expansion Branch, Bureau of Primary Care, Health Resources and Services Administration 11

12 Health Reform Resources Affordable Care Act (ACA) Opportunities Matrix Health Reform Washington/Choice Regional Health Network Center for Health Law and Economics University it of Massachusetts Medical School State Health Access Data Assistance Center ACA Federal Funds Tracker Tool The Henry J. Kaiser Family Foundation National Conference of State Legislatures Health Reform Implementation and Funding Information 12

13 Healthcare Funding Trends Healthcare Grant Opportunities that t Support Technology 13

14 Health Care Innovation Challenge ACA established the Center for Medicare & Medicaid Innovation Released Health Care Innovation Challenge in late 2011 $1 billion in grant funding; up to $30 million per project Applications were due in January with awards expected any day May have 2 nd competition this year 14

15 Health Care Innovation Challenge Eligibility Purpose Focus Providers, payers, local governments, public- private partnerships, multi-payer collaboratives Engage a broad set of innovation partners to identify and test new care delivery and payment models that produce better care, better health and reduced cost; Identify new models of workforce development and deployment related training and education; rapid deployment of care improvement models Focused on high risk / high opportunity populations, including Medicare, Medicaid and CHIP recipients 15

16 Advanced Nursing Education (ANE) Eligibility Purpose Details Collegiate schools of nursing, academic health centers, and other private or public entities accredited by a national nursing accrediting agency Support programs for registered nurses who are preparing to become nurse practitioners, clinical nurse specialists, nurse midwifes, nurse anesthetists, nurse administrators, nurse educators, public health nurses, and other specialties requiring advanced education. Deadline: May 18, 2012 Available Funding: $9 million; up to $375,000 over 3 years No cost sharing or match requirement 16

17 Nurse Education, Practice, Quality & Retention (NEPQR) - IPCP Eligibility Purpose Details Accredited schools of nursing, health care facilities, or a partnership of such a school and facility Support cooperative agreements for programs that propose innovations in Interprofessional Collaborative Practice (IPCP) that deliver patient and populationcentered quality health care that is safe, efficient, effective and equitable Deadline: May 29, 2012 Available Funding: $10,000,000; up to $500,000 per year over 3 yrs No cost sharing or match requirement 17

18 Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Eligibility Purpose Details States, a consortium of states, or eligible political subdivisions i i that t prepare and submit a sufficient application compliant with the statutory and administrative requirements described in this document. Only organizations currently receiving funding from the HPP and PHEP are eligible for this cooperative agreement. Supports technical assistance and resources for state, local, territorial, and tribal public health departments and healthcare systems/organizations to achieve public health and healthcare preparedness capabilities that promote prepared and resilient communities. Deadline: May 1, 2012 Available Funding: $971,092,537 Cost sharing is required in the amount of 10% of the grant funds awarded. 18

19 RUS Distance Learning & Telemedicine Application Deadline: Program currently on hold Average Award Range: $50,000 - $500,000 Eligibility: Public or private nonprofit organizations that may include hospitals, higher education institutions, workforce investment boards, tribal organizations, education and training providers, health care providers, and faith-based community organizations. Purpose: Supports projects to develop and expand local distance learning and telemedicine capacity through the acquisition of equipment, technical support, and training in highly rural, economically disadvantaged locations. Match required of at least 15% 19

20 Help with Grants "The Polycom Grant Assistance Program provides assistance for organizations seeking grant based funding. With their extensive experience in realm, they have a complete portfolio and understanding of grants, how they apply to your specific c needs, and can offer guidance on how to optimize chances for success. In such a complex and ever changing environment, Polycom's guidance is extremely valuable. - Dr. Andrew Watson, Vice President of ICSD with UPMC and Medical Director of the CCM. 20

21 Program Mission To assist public, private and nonprofit organizations in every aspect of proposal preparation, funding selection and application for telecommunications solutions. 21

22 The Grant Team Jeff Barlow Stephanie Steffen Ron Graves Andrew Knox Elizabeth Burton Laura Lundahl 22

23 Examples of Healthcare Organizations We Work With Hospitals Pi Primary Care Associations Community and Critical Access Clinics Surgical Centers Federally Qualified Health Centers Sh School-Based lb Health Centers Medical Centers / Colleges of Nursing at Higher Education Institutions National and Regional Telehealth Resource Centers Professional Healthcare Associations Telehealth lth Networks Rural Health Networks and Associations State t Departments t of Health, Rural Health, Mental Health Payers 23

24 Polycom 7-Step Grant Assistance Process TM Only trademarked grant assistance process in the telecommunications industry Customized and scalable pre- and post-award funding assistance From engagement to project close, the PGAP Team helps you find and apply for funding to support your education technology needs 1 Engage 2 Accept 3 Source 4 Apply 5 Award 6 Purchase 7 Close 24

25 PGAP Proposal Success Factors PGAP Proposal Success Factors Access to Grant & Healthcare Industry Experts Grant Peer Reviewers and Experienced Grant Administrators Polycom 7-Step Grant Assistance Process TM Grant Ready Assessment and Navigational Tool (GRANT) Proven and Successful Grant Writers Support Partial or Full Cost of Grant Fees Memorandum of Understanding 25

26 Polycom Grant Tools and Resources 26

27 Questions? 27

28 Thank You! Elizabeth Burton National Director Phone: Laura Lundahl Area Grant Manager Phone: