Q3 Newsletter - July 2015 - Wisconsin Association of Free

7/24/2015
WAFCC July 2015 Newsletter
July 2015 Q2 Newsletter | WAFCClinics.org | #TheNeedContinues
In This Issue
New WAFCC Members
Join WAFCC Today!
Partnership NAFCC
WAFCC Updates
Save The Date Nov. 6th
We Would Like to Meet You
Free Samples
Crisis Planning
WAFCC & AmazonSmiles
TechSoup & Nonprofit
Discounts
FTCA Funding
Medicare ­ Financial
Protections?
DOL New Overtime Rules
Board Chair Message
Spotlight Clinic ­ The Open
Door Clinic, Inc.
Wisconsin FCC Updates
ACA & Wisconsin Uninsured
Updates
Statewide Networks ­
abouthealth
NAFC Symposium
NAFC Survey
FUNdraising Ideas
July 20, 2015
Dear WAFCC Member, Supporter, & Friends,
I cannot believe how quickly time is flying by! Jessica & I
completed our work as REN (Regional Enrollment) Coordinators
for the Moraine Lakes & Southern Consortiums. We are excited
to report that we scheduled hundreds of events in these 12
counties not only for this past enrollment, but for the upcoming
enrollment (November 1, 2015 ­ January 31, 2016) too. We
are grateful to the FCCs in these communities that helped us
form steering teams, understand their communities, and conduct
outreach to the uninsured. Sadly, there is no state funding for
REN coordination to continue. WAFCC encourages FCCs to
continue assisting their patients and communities with insurance
enrollment, education, and transition management. The REN
experience has given WAFCC insight into who the uninsured in
Wisconsin/America are post­ACA and how to reach them. We will
be sharing these insights at the NAFC Symposium in October and
at the next WAFCC Summit on Nov. 6th in Eau Claire.
WAFCC committees are busy setting goals and operationalizing
our strategic plan (approved by the board July 2015). We could
use you! To learn more about WAFCC Committees and how you
can help please visit our website. On August 4th, I will be attending the Wisconsin Health News
Luncheon where industry leaders will analyze the impact of the
SCOTUS King v. Burwell decision, dissect the state budget, and
preview the fall legislative period at the Madison Club in Madison.
I continue to be involved with the Wisconsin SHIP (State Health
Innovation Plan) Advisory Panel.
As always, please let me know any ideas, questions, or concerns
and I will do my best to help!
Best Regards,
Katherine R. Gaulke, PhD, MHA
WAFCC Volunteer Executive Director
NAFC Symposium
Help Send Katherine
Katherine & Jessica
are Presenting at the
NAFC Symposium
Katherine Gaulke, Volunteer
Executive Director of
WAFCC, and Jessica
Osenbrugge, Executive
Director St. Joseph's Clinic
(Waukesha) & WAFCC Board
Vice Chair, have been asked
to speak at the National
Association of Free &
Charitable Clinics (NAFC)
Charitable Health Care
Symposium in Palm Springs,
California from October 25­
27, 2015 on their experience
as REN Coordinators & on
the insurance transition
studies FCCs in WI are
conducting. WAFCC is hoping
to raise $1,300 to send
Katherine (Jessica's
participation is covered by St.
Joseph's) to the NAFC
Symposium (airfare, lodging,
meals, supplies, etc).Could
you please help? Send
WAFCC to the Symposium ­
DONATE TODAY! Donations
to WAFCC are tax­
deductible. WI Drug Repository
Greetings, All!
Wisconsin FCC
Dinner at the NAFC
Symposium?
Webinar Pharmacy Cards
On behalf of WAFCC's Board of Directors, I'm pleased to
welcome new members ­ The Open Door Clinic & Watertown
Area Cares Clinic ­ who joined our association since our last
WAFCC would like to know if
you plan to attend the NAFC
Symposium! We would like to
organize a night when the
VHCP Updates
DirectRelief & Teva
WAFCC Board Chair Message
https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1121649121950&format=html&printFrame=true
1/8
7/24/2015
WAFCC July 2015 Newsletter
Sunburns & Helmets
newsletter.
WCHQ & HC Overuse
I'd also like to acknowledge and thank Jean Randles for her
service to our board and to send her our warmest wishes for
success as she leaves our board to assume a position outside of
the free & charitable clinic world. Stacy Nehmer, Dental Health
Coordinator at Church Health Services in Beaver Dam,
serendipitously completed an application to join our board at our
June summit. And, so, it's with great pleasure that we welcome
Stacy to our board to replace Jean.
AthenaGives & EHRs
Welcome NEW
WAFCC Members
The Open Door Clinic,
Inc. Open Tuesdays 5pm ­
7:30pm. Offices located at:
First Presbyterian Church
130 West Central in
Chippewa Falls
Open Door Website
Watertown Area Cares
Clinic Offers care by
appointment only. Offices
located at: 415 S 8th St,
Watertown WACC
Website
Not Yet a Member?
Join today!
We would love to have you
become a member or
supporter of WAFCC! Please mail completed
application and $100 dues to
WAFCC, 4979 Hickory Ct,
Elkhorn, WI 53121. Download
the Membership Application
Let the NAFC Know
You are a WAFCC
Member!
WAFCC is excited to partner
with the NAFC to offer a
"joint" membership with the
NAFC (The National
Association of Free &
Charitable Clinics). Let the
NAFC know that you are a
WAFCC member and they
will subtract your WAFCC
dues ($100) from your NAFC
membership dues! If you have
already paid your NAFC dues
this year, they will subtract the
$100 next year. WAFCC Updates
New Board Member
Stacy Nehmer
WAFCC is excited to welcome
Stacy Nehmer, Dental
Coordinator at Church Health
Services (Beaver Dam) to our
Board of Directors. Stacy is
filling the vacancy left by Jean
Randles.
Updates to
#NeedContinues
Handout
Thanks for the feedback
everyone! HERE is the
Speaking of our June summit, kudos to all who took part in its
planning and execution, especially Linda Smith and Angie Olson!
It was a great event. I'd also like to thank all who attended. It's
been so nice to visit with you and to learn more about the clinics
you represent around the state. I so respect the work you do, the
passion you have for your respective missions and the concern
you have for the patients you serve.
Likewise, WAFCC is passionate about serving you ­ and to do
everything we're able to help you succeed in your missions. And,
so, beginning in August our Executive Director, Katherine, and I
will begin scheduling visits to your respective clinics to learn as
much as we can about how your clinic operates and learn what
the association can do to maximize your success. It's our sincere
hope that you find your membership an indispensable asset. And,
if you've not joined yet, please consider membership. You'll find
we are fully committed to advocacy to make awareness of the
healthcare gap that exists a priority; networking and knowledge­
sharing; collaboration as a means of maximizing resources; and
sharing policies and procedures to help you create best­practice
models.
Enjoy the rest of your summer. And be sure to let us hear from
you if there's an issue we can help with.
Warmest Regards, Terry Ladwig
WAFCC Board Chair
*QUARTERLY SPOTLIGHT CLINIC* The Open Door Clinic, Inc. ­ Chippewa
Falls
The Open Door Clinic was established in
Chippewa Falls in 2006. Since that time
the clinic has served over 3,000 unique
patients, had 16,000+ visits
and dispensed 31,000+ medications.
The Open Door Clinic serves uninsured and sometimes under­
insured residents of Chippewa County whose income is less than
200% of the Federal Poverty Level. They also serve patients from
surrounding counties who do not have access to a free clinic.
Over 140+ active volunteers donated 5,200+ hours of service in
2014. The clinic employs one full­time coordinator who is a
contracted employee through St. Joseph's Hospital. In addition to general medical services the clinic provides
psychiatric care, diabetes education, foot care clinic, physical
therapy, chiropractic, dietician, lab services, and vaccinations; the
clinic partners with L.E. Phillips Libertas Treatment Center to
provide outpatient counseling
services to Open Door Clinic
patients. Patients referred by
Open Door Clinic providers
receive counseling services at
no cost to the patient or the
clinic. This service provides an
essential link to comprehensive
care for an at­risk population.
Read More. Wisconsin FCC Updates
https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1121649121950&format=html&printFrame=true
Wisconsin FCCs have dinner
together. Please let Katherine
know if you will be attending ­
(262) 949­2971 or
katherinegaulke@
hotmail.com. Want to learn
more about the NAFC
Symposium or Register? Click
Here.
NAFC Survey
Results will be shared
with WAFCC
Watch your email!
The NAFC annouced that the
first National Survey of Free &
Charitable Clinics in 10 years
has just begun! Over the
coming weeks, you will be
invited through email to fill out
an electronic survey seeking
information about your clinic.
This survey will be sent
directly to Julie Darnell from
the University of Illinois at
Chicago. Julie will be using
this survey data to describe
the operations of FCCs
across the country and
identify trends over time. As
not to duplicate efforts,
WAFCC is working with Julie
to isolate the data on just
Wisconsin clinics. As a thank
you for completing the survey,
NAFC will enter you in
drawing to win a free round
trip voucher on Southwest
Airlines, round trip airfare to
attend the NAFC's 2015
Charitable Health Care
Symposium in Palm Springs,
CA on October 25­27, or a
membership to the NAFC. FUNdraising Ideas
Taking advantage of
Social Media create a
"photo op" space that your
event visitors or patients can
take pictures and post to their
SnapChat, Instagram,
Facebook, etc. Jean Randles,
formerly of HealthNet, did this
at her daughter's graduation
and we thought this would be
a great idea for FCCs hosting
events. #TheNeedContinues
2/8
7/24/2015
WAFCC July 2015 Newsletter
updated #TheNeedContinues
Handout for you to distribute
explaining who the unisured
are post­ACA and why FCCs
are still needed as safety­net
providers in Wisconsin. Monthly ED &
Manager Calls
On Fri. July 17th, WAFCC
hosted their FIRST monthly
Executive Director/Clinic
Manager conference call. It
was very informative. We
decided that we will keep
eligibility guidelines,
donor/volunteer recruitment
ideas, clinic protocols, and the
VHCP program as standing
agenda discussion items. If
you have any agenda
additional ideas for our Fri.
Aug. 21st call ­ please let
Katherine know. Calls will be
the 3rd Friday of the
month from 11am­Noon.
Please call 712­432­1500
access code 480362#
SAVE THE DATE Nov.
6th WAFCC Summit
and Membership
Meeting
WAFCC is currently planning
our Friday, November 6th
Summit & Membership
Meeitng in Eau Claire. More
details coming soon.
June 19th WAFCC
Summit a Success!
Thank you to everyone who
attended our June 19th
Summit in Beaver Dam! It
was a huge success thanks to
you! Many thanks to our great
speakers & our event
sponsors Mercy Health
System & Molina
HealthCare. See pictures. We Would Like To
Meet You!
Terry & Katherine Hit
The Road
Terry Ladwig, Board Chair,
and Katherine Gaulke,
Volunteer Executive Director,
are scheduling FCCs tours
throughout Wisconsin. We
want to better understand
your clinic, the healthcare gap
you fill in your community, and
how WAFCC can best help
you. We are available August
7,17,18, 19, & 25 and
September 1 ,2, & 3. Please
email Katherine to set­up a
tour!
Bausch+Lomb Soothe
Kristin Wallace First Executive
Director Rock River Free Clinic
(Jefferson)
The Rock River Free Clinic Board of Directors
is very pleased to announce that Kristin
Wallace has been hired to serve as the first
Executive Director of the Rock River Free
Clinic. She began her tenure on June 1,
2015. Learn More About Kristin
Jessica Osenbrügge
New Executive Director St. Joseph's
(Waukesha)
Jessica Osenbrügge is appointed
Executive Director of St.
Joseph's Medical Clinic effective
June 1, 2015 (Peggy Brown
remains part­time at St.
Joseph's). Jessica has served in
a variety of positions at the Dr.
James E. Albrecht Free Clinic in West Bend, including as
Business Operations Coordinator. She participated in the
community's Latino Health Outreach Project Steering Team
through Casa Guadalupe Education Center, Inc. Since 2014,
Jessica has been serving as the Board Vice Chair of WAFCC
since its formation. Learn More About Jessica
Rebecca Steffes, RN, New
Nurse/Community Connections Free
Clinic (Dodgeville)
Rebecca Steffes, RN has accepted the
position of Nurse/Manger of Community
Connections Free Clinic (CCFC). Her first
day will be July 31st. Rebecca; has worked
at the Lafayette County Health Department
as the home supervisor, has been in the
Peace Corps, is bilingual (Spanish), and has
been a board member of CCFC. Molly Zuehlke (former
Nurse/Manager), will continue to volunteer for CCFC and serve
on WAFCC's Board of Directors and Chair of WAFCC's
Government Relations Committee.
Remembering Mary Ann O'Brien
of Good Neighbor Clinic (Sauk
Prairie) WAFCC was deeply saddened
to hear of the passing of Mary Ann O'Brien
on July 14, 2015. In 1999, she was
instrumental in the inception of the Good
Neighbor Clinic of Sauk Prairie with Dr.
Haakon Carlson; and then she served on
the Board of Directors and as intake nurse
until this last March. In June of 2014, Mary
Ann organized the hosting of WAFCC's
semi­annual summit at Sauk Prairie
HealthCare. Remembering Mary Ann
Insurance Transition Survey
Reflections at Watertown Area
Cares (Watertown) by Marie
Bonine This summer I had to
opportunity to intern at the Watertown
Area Cares Clinic (WACC). In addition to
conducting financial screenings, enrolling
patients into BadgerCare and creating
health literacy materials, my main project sought to uncover
trends of the recently insured. With the help of Katherine Gaulke
and Carol Martins I created a survey that gauged former WACC
patients knowledge and comprehension of their new insurance
plans. I conducted the survey by phone, reaching out to 887
https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1121649121950&format=html&printFrame=true
Use HashTags
WAFCC encourages your
clinic to us the hashtag
#TheNeedContinues in your
online and social media posts
VHCP Updates
VHCP June Webinar
On June 30, 2015 the DHS
had a webcast regarding the
VHCP. You can watch the
webcast HERE. View the
slides from the
webcast HERE . The Webinar
clarified that the family
planning and birth control
restrictions are only for when
volunteer work is being
conducted at public schools.
VHCP Questions
Remaining
Post webinar, VHCP
questions remain & WAFCC
has requested answers to the
below questions:
1. For the annual report (Wis
Stat 146.89(3)(i)), FCCs
need a definition of "visit"
(preferably that counting the
number of patients on a sign­
in sheet would
suffice), "patient", and
"service". For the data to be
comparable and meaningful,
along with understanding
what to collect and report this
is necessary. The webinar did
not answer this question.
2. It is understood that the
51% uninsured rule does not
apply to dental care for VHCP
coverage, however, it was not
clarified what is the % of
patients that can have dental
insurance and the VHCP
program still cover the
provider?
3. Is there a length of time an
FCC can care for an insured
person (i.e. 90 days) or could
the FCC care for the insured
person indefinitely so long as
the 51% uninsured is met? 4. Does the VHCP cover the
provider if the patient has
Medicaid/Medicare, and what
needs to be disclosed to
Medicaid/Medicare when
seeing one of their patients?
If you have any additional
questions or concerns about
the VHCP please let
Katherine know. We are
asking DPH for answers and
keeping a log. Volunteer Provider
Defined per the VHCP
"Volunteer health care
provider" means an individual
who is one of the following
and who receives no income
3/8
7/24/2015
WAFCC July 2015 Newsletter
XP Emollient
(Lubricant) Eye Drops
(.5 oz) Samples
FREE SAMPLES while
supplies last!
Hamacher Resource Group,
Inc. has 10,000 units of
Bausch+Lomb Soothe XP
Emollient (Lubricant) Eye
Drops (0.5 oz) (exp date
1/2016) that the manufacturer
sent them in error. Rather
than have them sent back,
they are donating the
products. The product is in
case lots of 24. If you are
interested, please contact
Linda Smith
at [email protected]
former patients and was able to survey 127 individuals. While
conducting the survey I began to notice a few general trends.
Individuals who enrolled into BadgerCare had experienced
relative success with their new insurance. This population
understood their insurance and gained access to specialized care
they had never before been able to afford. However, those who
enrolled into plans through the Marketplace were struggling with
their care, many did not understand technical questions and were
uncertain of where to go for help. The Hispanic population I was
able to contact also remained vastly uninsured, only a select few
had insurance and almost none of the Hispanic population
reported any history with insurance. Hopefully the results of this
survey can create an opportunity for WAFCC to learn how we
can better serve the recently insured.
Open Arms Free Clinic, Inc (Elkhorn) Space
Expansion & Now Offering Dental Beyond Ebola: Crisis
Planning Tips
FIVE Effective Ways to
Respond During a Crisis
1. Address the things that are
important before addressing
the things that are urgent.
Everything is urgent.
2. Never underestimate the
importance of preparation
3. Utilize your leadership
toolbox ­ during a crisis, more
than one type of leadership
style is needed
4. During a disaster, trust
your staff and volunteers to
do the right thing. In this type
of crisis, they usually do.
5. Know that it's lonely at the
top. People look to the
leaders for action, answers,
and healing.
From Healthcare Executive
July/Aug 2015
Support WAFCC when
shopping
Amazon.com
OAFC expanded space and services April 1, 2015. The
expansion has been wonderfully received by the community.
Since OAFC opened their doors in the new building they have
had 804 patient visits including: medical appointments, medicine
pick up, lab, dental, behavioral health, and many specialty visits
too! OAFC's new address is 205 East Commerce Court, Elkhorn,
WI 53121.
April ­ Aurora Health Care Announced Initial
Grant Recipients of Its Better Together Fund
WAFCC extends our heartfelt congratulations to the 15 Wisconsin
Free & Charitable Clinics who are recipients of the Aurora Better
Together Fund. We are extremely excited that of the 21
recipients, 15 are free and charitable clinics (FCC)!
Congratulations on telling the FCC story and proposing plans to
continue filling the gaps that remain post­ACA. We continue to be
amazed at WI FCCs' dedication to their patients and community!
We are all adapting to the changing health care environment. It is
evident that there are numerous health care needs
in Wisconsin that are being unmet. Thank you recipients for your
expertise and foresight to address these needs. As you move
forward with your grants, please let WAFCC know if we can be a
resource to you or can help in any way as you implement your
Better Together Fund programs. We are here for
you! #TheNeedContinues. Learn More. Thank you City on a Hill
for sharing your photos from the Aurora Better Together Fund
reception.
Amazon.com offers a
program called, Amazon
Smiles. It has all the same
items as traditional Amazon,
but with an added bonus ­ it
will donate a % of your
purchase to charity! If your
FCC does not already
participate in this program,
please pick Wisconsin
ACA & Wisconsin Uninsured Updates
https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1121649121950&format=html&printFrame=true
from the practice of his or her
health care profession or who
receives no income from the
practice of that health care
profession when providing
services at the nonprofit
agency:
1. Licensed as a physician, a
dentist or dental hygienist, a
registered nurse, practical
nurse, or nurse­midwife, an
optometrist, a physician
assistant, a pharmacist, a
chiropractor, a podiatrist, or a
physical therapist
2. Certified as a dietitian
3. A nurse practitioner, as
defined in s. 255.06 (1) (d).
4. An individual who performs
functions described for
pharmacy technicians in rules
promulgated by the pharmacy
examining board.
5. An individual who holds a
valid, unexpired license,
certification, or registration
issued by another state or
territory that authorizes or
qualifies the individual to
perform acts that are
substantially the same,
except a dentist or dental
hygienist, is licensed or
certified to perform and who
performs acts that are within
the scope of that license,
certification, or registration.
5. A psychologist who is
licensed.
6. A social worker who holds
a certificate.
7. A marriage and family
therapist who is licensed or a
professional counselor
8. An advanced practice
nurse who has a certificate to
issue prescription orders.
WI Drug Repository
WAFCC Webinar
Answers Questions
On April 29th, WAFCC hosted
a webinar on Diabetes, PAPs,
& Alternatives Webinar in
response to questions and
concerns raised over rising
diabetic medication costs and
the WI Drug Repository
Program. The questions we
asked Doug Englebert, RPh,
MBA, Pharmacy Practice
Consultant, Bureau of
Education Services
& Technology, Division of
Quality Assurance at DHS
were:1. What is the WI
repository program?, 2. What
medications can be accepted
as a WI repository?, 3. Do all
medications have to be
accepted or can the FCC set
policies on the types of
medication they will accept
and from whom?, 4. When
4/8
7/24/2015
WAFCC July 2015 Newsletter
Association of Free &
Charitable Clinics as your
Amazon Smiles Charity! Start
shopping now!
Techsoup & Nonprofit
Discounts
Is your FCC registered
with TechSoup? TechSoup is a 501(c)(3)
nonprofit with a clear focus:
connecting nonprofits, charity,
or public libraries with the
technology resources and
knowledge they need to
operate at their full potential.
Register your FCC with
TechSoup to get access to
donated and discounted
products and services from
more than 60 of their donor
partners. TechSoup charges
an administrative fee for each
donation or discount request.
For discount programs, this
fee also includes the cost of
the discounted product or
service. Federal Tort Claims
Act Funding
The U.S. House and Senate
have completed their
respective Subcommittee and
Full Committee markups on
the Departments of Labor,
Health and Human Services,
and Education and Related
Agencies Appropriations bills
for 2016. NAFC reported that
funding was included in both
the House and Senate bills for
the Free Clinic FTCA
Program. In both bills, the
program is funded at
$100,000. While both bills
have passed through
committee, they still have to
be debated and passed on
their respective floor. It is
unlikely that the current bills
will be taken up prior to the
August recess. Senate
Democrats have pledged to
filibuster the motion to
proceed when the measure
comes to the floor, in an effort
to force negotiations on
replacing the spending caps
imposed by the earlier
sequester deal. Learn more
about the FTCA. For those of you thinking
about utilizing the FTCA
liability coverage here are
some examples of other
clinics' in the nation policies:
King v. Burwell ­ #TheNeedContinues for FCCs Free and charitable clinics' role as safety­net providers of
healthcare to Wisconsin residents continues even with SCOTUS
upholding subsidies. WAFCC is overjoyed by the ruling of
Supreme Court of the United States (SCOTUS) in favor of
Burwell (King vs Burwell). This ruling means that health insurance
subsidies for more than 183,000 Wisconsin residents, will remain
intact. Read More. BadgerCare lapsed ­ 90 Day Window DHS asked that WAFCC remind clinics that if you are seeing
former BadgerCare recipients return because their coverage
lapsed, to make sure that the person understands that if their
case has been closed 90 days or less that they can contact their
consortia and will not need to start a BadgerCare application from
scratch. If it has exceeded 90 days, the person will need to
reapply online at ACCESS.wi.gov, over the phone, in­person, or
by paper application. Incentives for Dental Insurance Coverage
Lacking? The Oral Health Coalition of Dane County President, Dr. David
Gundersen, states that there is a structural problem with the
ACA; "There is no incentive for buying dental insurance, and
there's no penalty for going without it". According to a report
written by Gundersen and Mia Ka Hang, "Only one in seven
residents who bought a health insurance plan through the ACA
bought a family dental plan, and only one in nine bought a kids
only dental plan...Wisconsin residents are not getting dental
care through the ACA at anywhere near the levels they could."
The need continues for FCCs offering dental care. Wisconsin Budget Updates
The State Assembly passed Wisconsin's proposed budget. The
bill passed 52­46 with a GOP majority vote, each member of the
Democratic minority, along with 11 Republican members voted
against the proposal. The two year, $72.7 billion state budget
passed after senators repealed salary minimums for employees
on local government projects and discarded changes to the
state's open records law. Lastly, it made its way to the Governor's
desk where Walker made 104 vetoes. According to the Wisconsin
Budget Project, while the budget increases money allocated for
BadgerCare programs, the additional money is necessary to
simply maintain the status quo. Funding for BadgerCare Plus
increased by $650 million, but the increase mostly addresses the
rising cost of covering childless adults in the absence of federal
Medicaid expansion funds. The Department of Human Services
expected 100,000 childless adults to enroll in BadgerCare by
June, however in May that number was already 150,000. Rather than expanding BadgerCare eligibility and harnessing the
funding for Medicaid expansions, restricted coverage for adults
who aren't caretakers of dependent children has been proposed.
DHS has been directed to seek federal approval to make the
following changes for the childless adult population:
Imposing monthly premiums for childless adults, and
increasing premiums for "behaviors that increase an
individual's health risk"
Limiting eligibility to 4 years
Requiring health risk assessments and drug screening as
a condition of eligibility
There are no savings to the proposed BadgerCare changes.
That may reflect the long odds that the state would be able to get
a federal waiver for those restrictions, which conflict with federal
Medicaid statutes. No other state requires drug testing or
screening as a condition of Medicaid eligibility or sets a time limit
on eligibility ­ after which the state would kick off enrollees,
including those who have chronic conditions like diabetes, cancer
or mental illness. That being said, there is a precedent in other
states to charge premiums post­ACA without stipulations. Learn
more about how the budget impacts low income individuals
https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1121649121950&format=html&printFrame=true
and why should a FCC apply
to be WI repository?, 5. What
documentation is required of
an FCC that is a WI
repository?, 6. Can a WI FCC
accept donated medication
and not be a registered WI
repository?, 7. Can a WI FCC
form a relationship with a
registered repository to
dispense medications to their
patients? Listen to the
webinar or download the slide
deck at our website. It should
be noted that as of 5/1/15
Walmart's exclusive brand of
insulin, Reli On is $25 per vial.
Walmart also has Novolin
70/30 mix insulin, along with
"N" and "R" for $25 too. Lake
Area Free Clinic
(Oconomowoc) has also
shared their diabetes
treatment protocols with us
­ See it here. Webinar on USA Rx
Pharmacy Cards Are you interested in hearing
about one FCC's experience
using a pharmacy card, USA
Rx, and how they are using
their custom portal to see top
medications used, amount of
money saved and more? Join
the NAFC in a webinar to
explore how Doris Scales, of
the Christian Community
Action Adult Health Center in
Lewisville, TX has used her
pharmacy card to help
patients, volunteers, staff,
family and friends
on Wednesday, August 6th
2015 at 2:00pm EDT
REGISTER
DirectRelief & Teva
Pharmaceuticals Direct Relief announced a
growing partnership with
Teva Pharmaceuticals USA,
the largest generic drug
manufacturer in the world.
Beginning in August, a wide
variety of Teva products will
be made available through a
Teva­specific Safety Net
Support offer. Examples of
product types we anticipate
receiving include, but are not
limited to:
*Antibiotics
*Antihypertensive medications
5/8
7/24/2015
WAFCC July 2015 Newsletter
LCFC Policies & Procedures
for FTCA
LCFC Credentialing &
Verification Policy
FCSV Credentialing Policy
Medicare Financial
Protections Eroding
It is frequently an exciting day
at an FCC when a patient
become Medicare eligible...
however, limits on out­of­
pocket spending for
Medicare­covered services
are rising, providing less
protection for enrollees with
relatively high health care
expenses. Out­of­pocket
spending limits, have
increased in recent years,
rising from an average of
$4,317 in 2013 to $5,041 in
2015. Between 2013 and
2015, the share of enrollees
in plans with out­of­pocket
limits above $5,000 nearly
doubled to 46 percent. It is
important to recognize that
Medicare Advantage plans,
unlike traditional Medicare,
are required to have an out­
of­pocket limit for services
covered under Medicare
Parts A and B that is no
higher than $6,700. Learn
more. As FCCs are redefining
themselves post­ACA, and
some are beginning to care
for people who cannot afford
their insurance deductibles or
co­pays ­ looking at the gaps
in care caused by the
unaffordability of Medicare
becomes important. It should
be noted that individuals who
are eligible for Medicare are
not eligible for subsidies in the
Marketplace; the premium as
a percent of income rules do
not apply to Medicare. U.S. Dept. of Labor's
New Overtime Rules
The speculation is over ­­ on
June 30, 2015, the U.S.
Department of Labor (DOL)
published its long­awaited
Notice of Proposed
Rulemaking (NPRM)
regarding overtime
exemptions, after several
missed release dates. The
NPRM is in response to
President Obama's March 13,
2014 memorandum directing
the agency to update the
existing Fair Labor Standards
Act (FLSA) overtime
regulations with the
expressed intention of
HERE. #TheNeedContinues
Plan Selections by County in the Health
Insurance Marketplace released by CMS Although the data was released in July 2015, the data represents
the number of unique individuals who have been determined
eligible to enroll in a Qualified Health Plan and had selected a
Marketplace plan by February 15, 2015 (including SEP activity
through February 22). The 8.8 million plan selections for these 37
states were tabulated by county according to the home address
provided by each Marketplace applicant. We are still waiting for
more current numbers through the end of open enrollment and
the tax special enrollment (April 30, 2015). That being said, the
data does tell an interesting story and the continued need for
FCCs as it breaks down enrollment by income, race, age group,
and metal level by county. Download Data. RWJF Uninsured Webinar Highlights The nation's uninsurance rate has
dropped significantly since the
Affordable Care Act was enacted.
But millions of Americans remain
uninsured. In order to get a full
picture of the lives of the uninsured
and explore their feelings around
enrolling in health insurance, the Robert Wood Johnson
Foundation commissioned a national survey, conducted by
PerryUndem and GMMB, with uninsured adults at the conclusion
of the second open enrollment period for the health insurance
marketplace. Of uninsured individuals, 43 percent say they have
looked to get health insurance on their own in the last 12 months
and a similar number (41%) report they went to the marketplace
to find a health plan. Almost 8 in 10 (79%) of the uninsured who
looked for insurance say that after weighing everything, they
could not afford a plan. More than half of all uninsured (56%) say
they are likely to go to the marketplace to find a health plan in the
future. But there are knowledge gaps. Six in 10 are confused
about or have not heard of the tax credit, and more than 7 in 10
want one­on­one help understanding their insurance
options. After learning about the increasing penalty amounts for
2015 and 2016, 26 percent say this information makes them
more likely to get insurance. Of note, only 6 percent say the
increasing fine would make them less likely to get insurance.
Learn More. #TheNeedContinues
UnitedHealthcare Extends
Healthy Savings Program
to Individual Marketplace
Members A new healthy savings program is available
to all UnitedHealthcare Wisconsin Individual
Marketplace Members beginning in July,
2015. Cards will be mailed directly to the
member beginning the week of July 6th. Healthy Savings
provides potential monthly savings of more than $150 on
prequalified healthy foods from more than 140 food and
beverage brands. Eligible UnitedHealthcare plan participants will
receive a Healthy Savings card in the mail. After their card is
activated online at www.uhcwihealthysavings.com, participants will
be able to shop for the promoted healthy foods and scan their
card during checkout at 119 Roundy's Supermarkets locations in
Wisconsin, including four Metro Market®, 25 Copps® and 90 Pick
'n Save® stores statewide. This program helps UnitedHealthcare
members eat healthier and save money when purchasing
prequalified healthy foods. Learn More.
Proposed Insurance Premium Increases in 2016
A number of Wisconsin insurance customers can expect to pay
more in 2016 based on proposed rates recently published by the
federal government. WPS is seeking a nearly 33% overall rate
increase for individual­compliant plans sold off and on the
exchange, and an 11.5% hike for small group plans. Arise
individual a 19% increase and a 10.5% increase for small group
https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1121649121950&format=html&printFrame=true
(all types)
*Lipid lowering medications
*Oral diabetes medications
*Oral contraceptives
*Mental health drugs
Analgesics
*Gastrointestinal medications
Check out DirectRelief's
website to learn more.
Register to receive donations
from Direct Relief or you can
contact them directly at
[email protected]
or 877­303­7872
Sunburns & Helmets
Health Concerns
Nearly a third of Wisconsinites
say sunburn is their top
summer health concern,
however, only a quarter
report using sunscreen
according to Aurora Health
Care's quarterly health of
Wisconsin report. What is
your clinic doing to encourage
sunscreen? Many
dermatologists will donate
sunscreen samples to FCCs
to give to their patients.
Furthermore, the report
found that one in four
respondents nationally and in
Wisconsin have experienced
summer­related injury and
close to 55% plan to
participate in sports (6% more
than all Americans). Most plan
4­5 hours per week with
cycling, swimming, walking,
running, and golf as exercise.
Bicycle deaths are most likely
to occur in summer and fall
between the hours of 6 and
9pm. Wearing a helmet can
reduce brain reduce severe
brain injury by 88%! Is there
anything your clinic can do to
encourage
safe exercising this summer?
Websites for inexpensive and
free bike helmets can be
found HERE. WCHQ to Fight
Antibiotic Overuse
The Wisconsin Collaborative
for Healthcare Quality
(WCHQ) has received a
second grant to reduce
overused medical tests and
procedures in Wisconsin. The
collaborative will participate in
Choosing Wisely®, run by the
6/8
7/24/2015
WAFCC July 2015 Newsletter
"simplifying" the rules while
updating worker protections in
light of the changing nature of
the US economy. "Overtime is
a pretty simple idea," the
President said at a White
House signing ceremony last
year. "If you have to work
more, you should get paid
more." The President pointed
directly to the white collar
exemptions to the FLSA's
overtime requirements as
needing revision, noting that
the current rules treat as
"highly paid" those employees
earning as little as $23,660
per year. The proposed rule
will directly impact any
salaried employees currently
classified by the employer as
"exempt" salaried employees
under the executive,
administrative, professional,
outside sales or computer
employee exemptions, who
are currently paid a salary
that is more than $455/week
($23,660/year) but less than
$921/week ($47,892/year).
Under the proposed rule,
these employees would no
longer be exempt, and would
be entitled to overtime for all
hours worked over 40 in each
work week (and the final
dollar amount for the salary
test will likely be higher by the
time this rule is finalized). For
questions about the impact to
your clinic, WAFCC suggests
you speak with your legal
counsel, auditor and/or board
of directors. It is highly
advisable for each clinic to
assess their job descriptions
and classifications (Exempt vs.
Non­Exempt) to ensure that
both reflect your actual
performances/duties.
plans.Unity Health Insurance 18.3% increase for individual and
10.3% for small group. UnitedHealthcare is seeking an average
increase of 15.4% and MercyCare 10.2% for small group HMO
and 19.3 for small group PPO. Insurance companies are stating
the rate increase is caused by higher than anticipated costs.
These premium increase will mostly impact individuals off the
Marketplace where premiums based on income do not exist.
Statewide Network Changes & Additions
Wisconsin's newest statewide health care network AboutHealth,
recently added their eighth member, Marshfield Clinic ­ the others
are ProHealth Care, Aspirus, Aurora Health Care, Bellin Health,
Gundersen Health System, ThedaCare and UW Health. The
AboutHealth network officially formed to build upon and advance
the clinical quality, efficiency and customer experience shared
among all the participating organizations. Furthermore, Arise
Health Plan is the first insurance company to negotiate a single
contract with AboutHealth (not for Marshfield Clinic). It includes a
focus on population health management and value­based care.
For 2016, Arise will expand its service area to offer AboutHealth
plans in 50 counties. Arise & AboutHealth will offer co­branded
individual and group coverage with AboutHeatlh providers and will
have individual and small­group plans on the state's federal
exchange. Learn more. ABIM Foundation, and lead
an effort to reduce the use of
antibiotics for viral infections in
adults, imaging for low back
pain, imaging for headaches,
and inpatient blood utilization. The Robert Wood Johnson
Foundation provides funding
to the ABIM Foundation to
advance the Choosing
Wisely® campaign which
focuses on reducing the use
of unnecessary tests and
treatments in U.S. health
care. Launched in April 2012,
Choosing Wisely®
encourages physicians and
patients to discuss which
medical tests and procedures
may be unnecessary for their
condition, and in some
instances, can cause harm.
Since then, more than 60
medical specialty societies
have created lists of tests or
procedures they say are
overused or inappropriate in
their specialty, and that
clinicians and patients should
discuss.
AthenaGives & EHRs A second, separate health care network, Integrated Health
Network of Wisconsin, was first formed in 2005. Its partners
encompass the northeastern part of the state: Froedtert Health,
Wheaton Franciscan Healthcare, Columbia St. Mary's, Agnesian
HealthCare, Ministry Health care, the Medical College of
Wisconsin, Hospital Sisters Health System and Prevea Health in
Green Bay. Through a branch of their
corporate citizenship
program, AthenaGives,
AthenaHealth donates its
cloud­based electronic health
record (EHR) service,
AthenaClinicals, to qualified
charitable organizations in
accordance with applicable
regulations. As a benefit of
their cloud­based EHR and
access to their growing
network, AthenaGives clients
are able to improve both
clinical outcomes and
operational management,
including the superior
reporting required to secure
critical funding. Learn More. This newsletter is for informational purposes only and should not be considered legal advice.
Help Support WAFCC's Mission ­ DONATE TODAY!
WAFCC ­ Wisconsin Association of Free & Charitable Clinics | [email protected] 4979 Hickory Ct, Elkhorn, WI 53121 | http://www.wafcclinics.org/events.html Copyright © 20XX. All Rights Reserved.
Forward this email
https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1121649121950&format=html&printFrame=true
7/8
7/24/2015
WAFCC July 2015 Newsletter
This email was sent to [email protected] by [email protected] | Update Profile/Email Address | Rapid removal with SafeUnsubscribe™ | Privacy Policy.
WAFCC ­ Wisconsin Association of Free & Charitable Clinics | P.O. Box 678 | Elkhorn | WI | 53121
https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?agent.uid=1121649121950&format=html&printFrame=true
8/8