Transcript Slide 1

The Health Consumer Alliance (HCA)
Data on Children Access to Oral Health
in 13 California Counties
“Securing Health Rights for Those in Need”
HCA, An Innovative Partnership
• The HCA mission is to help low-income Californians
obtain essential health care.
• Nine community-based health consumer centers, the
National Health Law Program and Western Center on
Law and Poverty.
• HCA provides service in thirteen California counties
Fresno, Imperial, Kern, Los Angeles, Orange,
Sacramento, El Dorado, Placer, and Yolo, San Diego,
San Francisco and Alameda, and San Mateo.
HCA Quantifies Consumer Problems
HCA assists 3/5 of all low-income Californians and
provides quantified information on the barriers they
face obtaining health care.
Health Law Database
• HCA gathers and stores information about all
the clients it helps and the problems they face.
• The data is compiled on a statewide basis and
analyzed.
• The analysis of this data is utilized in advocacy,
policy reports, media stories, with the potential
of helping solve not only one client's problem,
but systemic issues.
HCA Data Collection: Eligibility, Service Problems,
and Service Needed
In addition to demographics, health program coverage,
and other relevant information, we collect information
on the type of problems consumers report and the
health service they need. We divide problems into:
• ELIGIBILITY PROBLEMS: problems a health consumer has
getting health coverage
• SERVICE PROBLEMS: problems a health consumer has
getting health services
Service Problems and Services Needed by
Consumers , Captured by HCA
SERVICE PROBLEMS INCLUDE:
•Billing/charges to or payments from consumer
• Care unaffordable
• Care unavailable/inaccessible
• Delayed –Services/referral/appt
• Denied –Services/referral/appt
SERVICES NEEDED:
• Ambulance
• Dental/orthodontic
• Emergency care
• Hospital care
• Laboratory
• Preventive visit
Top five programs under which consumers
with the service needed "Dental/orthodontic“ were covered
Consumers aged 0 to 21 in cases closed
between 1/1/2006 and 12/31/2007
90.00%
83.98%
80.00%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
12.71%
10.00%
9.39%
7.73%
6.63%
0.00%
Healthy Families
Medi-Cal
Medi-Cal - Restricted
No Health Coverage
Private Insurance
(through employer or
COBRA)
Top five health programs under which
the service needed was "Dental/orthodontic"
Consumers aged 0 to 21 in cases closed between 1/1/2006 and
12/31/2007
80.00%
69.44%
70.00%
60.00%
50.00%
40.00%
30.00%
20.00%
10.19%
10.00%
6.02%
5.56%
3.24%
0.00%
Healthy Families
Medi-Cal
Medi-Cal - Restricted
No Health Coverage
Private Insurance
(through employer or
COBRA)
Top five service problems
with the service needed "Dental/orthodontic"
Consumers aged 0 to 21 in cases closed between 1/1/2006 and
12/31/2007
25.00%
22.22%
20.00%
18.06%
15.74%
15.00%
13.89%
10.00%
6.02%
5.00%
0.00%
Billing/charges to or
payments from
consumer
Care
Client unaware of how
unavailable/inaccessible
to use available
services
Denied Services/referral/appt
Language, Cultural or
Racial barrier
Top five entries for who caused the problem
for service needed "Dental/orthodontic"
Consumers aged 0 to 21 in cases closed between 1/1/2006 and
12/31/2007
45.00%
41.20%
40.00%
35.00%
29.17%
30.00%
25.00%
20.00%
15.00%
12.04%
10.00%
4.63%
5.00%
4.63%
0.00%
Don't Know
Health plan
Other health care
provider
Primary care provider State agency or official
(PCP)
Top five service problems within the top five programs
where the service needed was "Dental/orthodontic"
Consumers aged 0 to 21 in cases closed between 1/1/2006 and
12/31/2007
90.0%
83.3%
80.0%
70.0%
60.0%
50.0%
40.0%
31.8% 31.8%
30.0%
23.1%
20.0%
10.0%
28.6%
26.7%
28.6%
23.1%
18.2%
15.4%
7.7%
15.3%
14.3%
12.0%
11.3%
7.7%
8.3%
6.7%
14.3%
4.5%
4.5%
0.0%
Healthy Families
Medi-Cal
Medi-Cal - Restricted
Billing/charges to or payments from consumer
Care unavailable/inaccessible
Denied - Services/referral/appt
Language, Cultural or Racial barrier
No Health Coverage
Private Insurance
(through employer or
Client unaware of how to use available services
COBRA)
HCA, An Innovative Partnership
Kim Lewis
Western Center on Law and Poverty
[email protected]
213.235.2628