goals in Phase Two of the Alameda County Communities in Charge project are to
move Alameda County toward universal health insurance coverage and improve
access to high quality care in Alameda County's safety net system.
enrollment in Alliance Family Care, a managed health coverage product for
eligible Alameda County families. This product was developed and is
administered by our partner, the Alameda Alliance for Health, the local
not-for-profit managed care plan.
and parents with a particular focus on immigrants, including undocumented
with at least one child enrolled in Medi-Cal Healthy Families (S-CHIP), or
Alliance Family Care through the Alliance
with income up to 300% of the Federal Poverty Level
with the Alameda Alliance for Health to implement new healthcare coverage
products for uninsured adults.
Supportive Services (IHSS) workers (over 3500-7000 individuals)
with dependent children
a system to assist high utilizing disabled, indigent patients in obtaining
SSI/Medicaid coverage and provide intensive care management systems.
outpatient utilizing adult indigent patients already being served in our
safety net program
are under 200% of the Federal Poverty Level; a majority are people of color;
and have one or more chronic medical and/or mental health conditions.
Back to Top
See other text
Back to Top
Financing & Outreach
million for five years from Alameda Alliance for Health's reserve funds
for two years from a California Endowment grants specifically to subsidize
coverage for undocumented children
million per year in County Tobacco Master Settlement Agreement funds to
subsidize coverage for children and enroll through a school-based readiness
million from a California Health Care Foundation grant to subsidize coverage
Family Care has enabled us to enroll entire families into coverage programs
even when family members are eligible for different programs and has allowed
us to develop a non-wrong-door, single-point-of-entry approach to outreach
and enrollment. The goals is to have a seamless enrollment system that
makes the actual enrollment in the various programs "invisible" to
the enrollee and the determination of which programs families are eligible
for the responsibility of the system itself. Outreach is conducted
using an out-stationed model. Families enroll at over 40 clinic and
community based enrollment sites across the county an at County-sponsored
enrollment events (via a State S-CHIP Grant). They can enroll in
Alliance Family Care, Medi-Cal, Healthy Families and other programs.
million per year from County Tobacco Master Settlement Agreement funds to
subsidize coverage for IHSS workers
per year from the Alameda County Social Services Agency to subsidize
million per year from State/Federal matching funds to subsidize coverage
conducted through mailers from the Alliance and the employer of record (the
Public Authority) as well as direct outreach through the IHSS workers' union
from the United Way of the Bay Area through Bank of America's Success By Six
Program to enroll workers, their families, and clients at childcare centers
in existing coverage programs.
for the campaign is being conducted through grassroots organizaing and
→Back to Top
→Back to Top
for Alliance Family Care began in July 2000
members currently enrolled as of August 2002; this is well above the
original estimate of 2000 over five years and highlights are extreme success
in enrolling members and the value our community members place on affordable
Alliance Board increased the reserve fund allocation from $4.1 million to
County allocated $1 million per year in County Tobacco Master Settlement
Agreement funds to subsidize coverage
$1 million from a California Health Care Foundation Grant to subsidize
the Community Voices Project and the Alliance, completed member focus groups
in English, Spanish, and Cantonese and enrollment specialist focus groups
regarding benefits, costs, enrollment processes, and member services; member
responses were overwhelming and positive.
Alameda County Access to Care Collaborative
group which meets monthly is comprised of the leadership of the county
safety net system. It focuses on issues related to healthcare
coverage, access to high quality healthcare, and racial and ethnic health
disparities. Communities in Charge and the Community Voices Projects
provide staff to the Collaborative.
Alameda Alliance for Health
Alameda County Health Care Services Agency
Alameda County Medical Center
Alameda County Social Services Agency
Alameda Health Consortium
W.K. Kellogg Community Voices Project
County of Alameda Uninsured Survey (CAUS), the first multi-language
county-specific coverage survey was completed, and a summary report was
distributed to over 2800 county, state and federal community-based
organizations, policymakers, healthcare advocates, etc.
CAUS press conference resulted in extensive print, television and radio
coverage in English, Spanish, Cantonese, Vietnamese, and Korean outlets.
a proposal for universal healthcare coverage on behalf of Access to Care
Collaborative; developed preliminary cost data for families as part of the
proposal; supported by the County Board of Supervisors; this document
provided a blueprint to our efforts in the county.
in the Children and Families Health Insurance Task Force and Implementation
Planning Group sponsored by a County Supervisor, influenced the inclusion of
families, not just children in preview in front of the task force and
provided all the data on the uninsured and coverage cost estimates.
assistance from Medimetrix, the Collaborative developed a brochure to
highlight its members and efforts; currently developing a media
strategy/communication plan to be implemented at the end of 2002.
June of 2002, the United Way of the Bay Area awarded the Collaborative with
$10,000 to support its efforts
Alameda County showcase to the leadership of The California Endowment to
solicit their support for a broad county proposal to increase healthcare
coverage; submitted a concept paper/initial proposal for funding for
subsidies, outreach and enrollment, and policy work.
with the Alliance and the local unions, successfully leveraged funds for
IHSS workers; the County allocated $1 million per year in County Tobacco
Master Settlement Agreement funds and $500,000 per year from the Alameda
County Social Services Agency to subsidize coverage; this drew down $5.5
million per year from State/Federal matching funds.
implemented Alliance Group Care, the product for IHSS workers, in June 2002.
comprehensive Alliance Group Care evaluation, including non-member survey
and member focus groups in Cantonese, Spanish, English; implementation of
evaluation began August 2002.
the steering committee of Work and Family Coalition a group of childcare
workers/early educators, childcare agencies, labor and other advocates
working to secure healthcare coverage for childcare workers.
support from County Board Supervisors
$30,000 on behalf of the coalition from the United Way of the Bay Area
through Bank of America's Success by Six program to enroll workers, their
families, and clients at childcare centers in existing coverage programs;
developed system and hired contractor to coordinate project.
a strategic plan to focus the campaign work in a difficult budgetary
with Insure the Uninsured Project to develop the recommendations for the
legislative and financing mechanisms.
buy-in from key stakeholders throughout County
work group to design system and identify policy targets; group includes;
Alameda County Medical Center Leadership, Alameda County Health Care
Services Leadership, Social Services Agency staff, Clinic leaders, homeless
and mental health advocates, etc.
contract with the Homeless Action Center to have access to their community
ties and policy expertise
policy subgroup and briefed key County Supervisors
best practices and county data to identify target population and pilot
and Expanding Alliance Family Care: At 7400 members two years into
the five year commitment, enrollment in Alliance Family Care has already
exceeded its initial 2000-member target. Unfortunately, though, it is not
clear that there will be enough funding to increase (or even sustain current
program membership). Given the impact of California's budget crisis on the
Alliance, it is not certain that the Alliance will be able to continue
generating the surpluses necessary to full support the product. Realizing
that foundation support has limitations, the Alliance and the Access to Care
Collaborative are exploring other funding sources, including developing business
partnerships and hiring development staff.
more funding mechanisms for healthcare coverage and pilots: Aside
from the 9300 residents who have been successfully enrolled in Alliance Family
Care, or First Care, their unsubsidized product there are still an estimated
175,000 uninsured residents in Alameda County, the largest portion of which are
adults without dependent minor children. The challenge will be to find
creative strategies to move more people into coverage and build the capacity of
the safety net and the local healthcare system to adequately meet their
needs. Additional funds also will be needed for the SSI/Medicaid
Enrollment Project to continue beyond the duration of the Communities in Charge
→Back to Top
Interim Project Director
Community Voices Project
Communities In Charge Project
Alameda Health Consortium
1320 Harbor Bay Parkway, Suite 250
Oakland, CA 94502
County Website Links:
Alliance for Health: http://www.alamedaalliance.com
Voices Healthcare for the Underserved: http://www.communityvoices.org
Health Center Network: http://www.chcn-eb.org
→Back to Top