Governor Rendell Offers Coverage to 29,000 on AdultBasic Waiting List; Unveils New...

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Tue Jan 22, 2008 2:18pm EST

Governor Rendell Offers Coverage to 29,000 on AdultBasic Waiting List; Unveils
New Policy to Improve Quality of Care for the Low-Income and Pennsylvanians
With Disabilities

 

HARRISBURG, Pa., Jan. 22 /PRNewswire-USNewswire/ -- Governor Edward G. Rendell
today said that 29,000 uninsured adults who have been waiting for coverage
since 2006 can now be added to the adultBasic insurance program and said if
his Cover All Pennsylvanians program had been enacted, more than 70,000 people
still on the waiting list would have also been able to receive coverage. 

During a Capitol news conference, the Governor also announced that the state
has taken steps to eliminate preventable, serious adverse events at acute care
general hospitals participating in the Medical Assistance program. Consistent
with his Prescription for Pennsylvania health care reform plan, the new policy
places Pennsylvania at the forefront among state Medical Assistance programs
in addressing these avoidable health care occurrences.

"With my Prescription for Pennsylvania, we have been working hard to make sure
that all Pennsylvanians have access to quality, affordable health insurance,"
Governor Rendell said. "Today we have given 29,000 uninsured adults the
opportunity to receive adultBasic health coverage at a monthly premium of
about $33.50. We have also instituted a program to improve the quality of
hospital care that our Medical Assistance recipients receive. Both of these
announcements are good news.

"While the individuals who have been on the adultBasic waiting for up to 18
months can finally heave a sigh of relief, there are still 70,000 people on
the waiting list and hundreds of thousands more Pennsylvanians who have no
affordable options in sight. Of course, all these folks would be provided
immediate access to coverage if the legislature were to pass my Cover All
Pennsylvanians proposal because that program would fold all current adultBasic
enrollees as well as the waiting list into the program.

"And, even more worrisome is the fact that nearly 5,000 eligible people apply
for coverage, but end up on the adultBasic waitlist each month. The
application rate is growing at a rate higher than anytime in the program's
history. We must do more than offer a band-aid solution to stem the increasing
flow of the needs of the uninsured. CAP would do that." 

The Governor also said that if the General Assembly had passed CAP last March
when HB700 (the Rx for PA legislation) was introduced, the federal matching
monies that the state would have received would have covered an additional
56,324 people per month on average. That means that without any other proposed
funding sources, 104,218 people would have been receiving some coverage.

"We could have pretty much wiped out the waiting list," the Governor said.
"That wouldn't have solved our entire problem, because there are hundreds of
thousands of people who haven't applied for adultBasic because of the huge
waiting list. And the adultBasic enrollees don't have prescription drug
coverage, which CAP does. But it would have allowed us to start to make a
dent."
 
People who are on the waiting list for adultBasic have the option to pay about
$298 a month for this coverage. If they had to buy private health insurance,
they would pay considerably more.
 
There are currently 50,117 Pennsylvanians enrolled in the program. With
today's action, there have been 15 wait-list offerings to nearly 260,000
individuals since the Governor took office. This latest offering will likely
reduce the adultBasic waiting list from 100,000 people to roughly 70,000.

Governor Rendell again urged the General Assembly to make expanded access to
health care a priority in the coming weeks and months.

"It is my hope that we can sit down and work out an achievable plan for health
care, certainly before the summer recess. We hope, eventually, to add all
800,000 uninsured Pennsylvanians to CAP. If we can pass CAP in May or June, we
can start enrolling Pennsylvanians in the fall. AdultBasic is a good,
temporary stopgap...for those families, but it's not nearly enough."

AdultBasic offers necessary benefits -- including preventative care, physician
services, diagnosis and treatment of illness or injury, in-patient
hospitalization, out-patient hospital services, emergency accident care and
medical care -- to uninsured Pennsylvanians between the ages of 19 and 64. For
eligibility and enrollment information, call 1-800-GO-BASIC or visit the
Pennsylvania Insurance Department's Web site, http://www.ins.state.pa.us.
 
AdultBasic is funded by proceeds from the commonwealth's share of the national
tobacco settlement and is augmented through General Fund allocations and
through the Community Health Reinvestment Agreement negotiated by the state
with Pennsylvania's four Blue Cross Blue Shield plans.

The second announcement the Governor made today focused on making quality
health care accessible to Pennsylvania's most vulnerable citizens.

"Too often we learn that during an extended hospital stay, patients have
received care that poses serious and sometimes fatal health risks," the
Governor said. "According to the Pennsylvania Health Care Cost Containment
Council, these unnecessary errors are costing Pennsylvania businesses,
consumers and taxpayers over $960 million annually. Through this initiative,
we are taking steps to ensure that payment for services through the Medical
Assistance program is made to hospitals based on their efforts to provide
quality care to our consumers."

Based on National Quality Forum standards, the Department of Public Welfare,
in collaboration with the Hospital and Healthsystem Association of
Pennsylvania developed the new policy to help in identifying preventable,
serious adverse events and provide a starting point for health care facilities
to establish measures and actions to be taken to actively improve the safety
of patient care. 

Under the newly established guidelines, preventable serious adverse events can
be identified as; surgical events, such as surgery performed on the wrong body
part or patient; patient protection events, such as an infant discharged to
the wrong family; environmental events, such as a patient death associated
with a fall while being cared for in a healthcare facility; and care
management events, such as a patient death or serious disability associated
with a medication error.
 
In making payments to acute care general hospitals, the department will
consider whether the event was preventable, within control of the hospital,
occurred during an inpatient admission and/or resulted in significant harm.

For more information on the Medical Assistance program or to view the
Preventable Serious Adverse Events bulletin, visit http://www.dpw.state.pa.us.

For information about Governor Rendell's Cover All Pennsylvanians proposal and
the Prescription for Pennsylvania, visit http://www.rxforpa.com.


The Rendell administration is committed to creating a first-rate public
education system, protecting our most vulnerable citizens and continuing
economic investment to support our communities and businesses.To find out more
about Governor Rendell's initiatives and to sign up for his weekly newsletter,
visit his Web site at: http://ww.governor.state.pa.us.

Additional media contacts: 
Amy Kelchner, GOHCR - 717-346-8379;
Rosanne Placey, PID - 717-787-3289;
Stacey Witalec, DPW - 717-787-4592

Editor's Note:  The chart below shows the number of uninsured adults by county
and the uninsured rate per capita. It also shows how many people in each
county currently receive adultBasic and how many are on the waiting list.

    County         Uninsured   % Adults    Adult Basic
                     Adults     who are                      Enrollment 1/08
                    (19-64)*   Uninsured     Waitlist
                                   *         1/08            Adult Basic

    Adams                6,472       12.8%            1,037              225
    Allegheny          108,835       15.7%            7,882            5,101
    Armstrong            5,247       13.2%              780              490
    Beaver              13,734       14.1%            1,454              845
    Bedford              3,327       11.8%              680              543
    Berks               17,959        8.9%            3,276              757
    Blair                9,817       13.8%            1,159              720
    Bradford             4,690       13.5%              697              369
    Bucks               17,655        5.0%            3,627            1,727
    Butler               3,408        3.4%            1,596              954
    Cambria             11,295       14.3%            1,400            1,160
    Cameron                185        6.5%               51               38
    Carbon               4,514       13.8%              683              364
    Centre               8,307       10.6%              632              395
    Chester             25,790       10.0%            2,166              935
    Clarion              2,423       11.0%              317              238
    Clearfield           6,121       13.5%            1,083              688
    Clinton              2,764       14.1%              234              184
    Columbia             4,374       12.8%              495              221
    Crawford             8,814       18.7%              755              511
    Cumberland           8,022        6.8%            2,085              441
    Dauphin             12,505        8.6%            2,303              430
    Delaware            23,815        8.0%            4,267            2,023
    Elk                  2,041       10.8%              266              227
    Erie                10,340        7.2%            2,658            1,714
    Fayette             11,833       14.8%            1,716            1,138
    Forest                 663       27.0%               45               45
    Franklin            10,433       14.2%              834              294
    Fulton               1,247       15.4%               97               58
    Greene               2,637       12.5%              321              240
    Huntingdon           2,525       11.1%              365              254
    Indiana              6,376       13.4%              933              575
    Jefferson            4,139       16.7%              361              343
    Juniata              1,841       14.6%              257              111
    Lackawanna          11,420       10.3%            1,315              780
    Lancaster           11,278        4.4%            5,141              929
    Lawrence             5,773       11.8%              751              601
    Lebanon              7,231       10.7%            1,072              238
    Lehigh              14,597        8.4%            3,572              869
    Luzerne             17,661       10.6%            2,202            1,217
    Lycoming             7,636       12.0%              599              340
    McKean               1,500        6.5%              564              253
    Mercer              10,039       16.5%              950              580
    Mifflin              2,672       10.6%              575              229
    Monroe              10,470       13.1%            1,625              757
    Montgomery          23,060        5.3%            3,613            2,436
    Montour                973       10.5%               66               34
    Northampton         22,024       15.2%            2,034              538
    Northumberland       4,503        9.0%              981              427
    Perry                4,107       16.1%              457              136
    Philadelphia       138,950       17.3%           14,298            7,661
    Pike                 3,714       13.3%              566              332
    Potter               1,329       13.4%              232              160
    Schuylkill           8,252       10.3%            1,139              482
    Snyder               2,419       12.3%              328              127
    Somerset             4,877       11.4%              902              725
    Sullivan               352       10.8%               79               41
    Susquehanna          4,025       17.0%              513              329
    Tioga                7,721       35.6%              671              335
    Union                2,444       13.9%              179               95
    Venango              2,186        6.9%              566              409
    Warren               5,325       22.6%              416              255
    Washington           8,996        8.3%            1,252              942
    Wayne                3,167       12.4%              573              325
    Westmoreland         9,682        4.7%            3,032            2,297
    Wyoming              1,054        6.7%              305              132
    York                23,055       10.5%            3,136              748

          TOTAL        746,640                      100,216           50,117




Figures derived from the 2004 Health Insurance Survey conducted by Market
Decisions LLC for the Pennsylvania Insurance Department.  This chart does not
reflect what portion of the uninsured may be eligible or may qualify for CHIP,
adultBasic, Medicaid, or any other government program.

CONTACT: Chuck Ardo 717-783-1116




SOURCE  Pennsylvania Office of the Governor

Chuck Ardo of the Pennsylvania Office of the Governor, +1-717-783-1116
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