Asian (7.9%)

Black/African American (12.7%)

White (74.5%)

Black/African American

(25%)

Unknown (35%)

White (36%)

Other (2%)

59%

19%

14%3%

5%

Other/ Unknown (4.9%)

16%16%

61%

3%4%

48118

48158

48189

48105

48198

48197

4817048168

48108

48104

48191

48178

48130

48103

48176

48160

13

4440

54

48

77

14 17

28

101

207184

598

110

992915

3,247

2,312

Asian (2%)

0

1

2

3

4

5

6

7

8

9

201520142013201220112010

20102015

71% 8% 21%

68% 7% 25%

Community Dashboard

FEDERAL UPDATES

Children’s Health Insurance Plan: CHIP covers more than eight million children nationwide. In Washtenaw County, 910 children are enrolled in MIChild as of January 2018. CHIP has been extended for six years. Here is a summary of the extension from the Kaiser Family Foundation.

STATE/LOCAL UPDATES

Medicaid: Senator Shirkey has introduced a bill to impose work requirements on Michigan Medicaid recipients, following a recent similar CMS decision. As currently written, this bill will have a very significant impact on the over 18,000 recipients of the Healthy Michigan Plan— there are very few exemptions in the bill. The bill also has punitive impacts that would ban recipients in some cases from getting back on Medicaid for a year; and punitive impacts on the Department of Health and Human

Services. Compliance delays could result in a 5% budget cut. Read more here, here, and here.

Mental Health and Public Safety: Washtenaw County passed a millage in November 2017 supporting mental health and public safety. A series of community meetings are scheduled to discuss how this money might be used.

Opioids: The Washtenaw County Health Department is continuing to do surveillance and working in collaboration with the Washtenaw Health Initiative (WHI) Opioid Project. The health department continues to focus on opportunities for primary prevention strategies. The Washtenaw Health Plan and the Washtenaw Housing Alliance held a conference on May 16 on harm reduction practices in housing and healthcare. The WHI and the Washtenaw County Health Department are working on a number of different initiatives related to opioids.

COMMUNITY TRENDS The rate of uninsured has dropped from nine

percent in 2010 to four percent in 2015.

Despite a slight decline between 2010–2015, a majority of people with low incomes report having a personal doctor or healthcare provider.

Public data also show that since start of Affordable Care Act (ACA) health exchanges, there has been a steady increase in enrollment the Healthy Michigan Plan and other marketplace plans.

Dental care data was only available for 2010 and showed that 53 percent of people with low incomes had dental insurance at the time.

This section illustrates the total number of clients who reported achieving specifed outcomes, and the corresponding percentage of achievement for all clients working on that outcome.

POLICY UPDATES FROM WASHTENAW HEALTH PLAN

TRENDS FROM REPORTING

DEMOGRAPHIC DATA

Number of All WCF Participants Served, by ZIP Code(FIGURE 1)

Race of Safety Net Health Participants (FY17)(FIGURE 2B)

Race of All WCF Participants(FIGURE 2A)

PROGRAM LEVEL OUTCOMES

Breakdown by Income

Our Community Outcome: Increase access to health services and resources for people with low incomes.

Total served: 11,880

Total served: 30,843

Income of All WCF

Participants(FIGURE 3A)

Income of Safety

Net Health Participants

(FY17)(FIGURE 3B)

Washtenaw Coordinated Funders (WCF) is meeting the needs of our community’s most vulnerable in four priority areas through three funding components intended to: Support human services programming; Build nonprofit capacity; Foster community collaboration and systems-level change. WCF includes the following partners: Ann Arbor Area Community Foundation (AAACF); Office of Community and Economic Development (OCED), representing Washtenaw County, Urban County and the City of Ann Arbor; United Way of Washtenaw County (UWWC); RNR Foundation; Saint Joseph Mercy Ann Arbor (SJMAA). For more information, visit our website: coordinatedfunders.org.

Total served: 11,880. Map reflects participants served for which Washtenaw County ZIP codes were reported.

Total served: 11,880

100% of FPL or below

185-100% FPL

200-185% FPL

Above 200% FPL

FPL income unknown

JULY 2018

Washtenaw County, 2010

Total population: 344,794Safety Net Health

SYSTEMS GOAL: Work to identify and address unmet needs related to benefits

Multiple programs reported challenges with finding and/or

retaining staff.

Multiple programs reported a decrease in the volume

of people seeking benefits advocacy assistance.

Demand for mental health services continues to exceed

capacity.

Medicaid Healthy Michigan Plan Marketplace

YES More Than One NO

Source: Washtenaw County, DHHS Green Book and CMS Data for Open Enrollment, Marketplace Enrollment Notes: Marketplace (ACA coverage) opened 1/1/2014.

Healthy Michigan Plan began 4/1/2014.

Source: Washtenaw County, American Community Survey, 1-Year Estimates

Benefits Advocacy and Referral Coordination

Accessing Care Services

Eligible individuals are enrolled and/or re-enrolled in publicly funded programs,

including Medicaid, SNAP benefits, WIC, congregate meals, summer food

programs, local benefits, etc., as measured by program-level data (i.e.,

participant tracking of applications)

Increased or maintained access to health care services for

the uninsured and for those with Medicaid or other health

coverage, as measured by the organization’s tracking of

assistance to clients

Increased and/or maintained individuals who have providers/places for services for their medical, dental, mental health, substance use disorder, and/or disability needs, as measured by program level data (e.g. participant tracking)

1,588

8,018

4,758

95%

93%

86%SAFETY NET HEALTH OF ECONOMICALLY DISADVANTAGED IN WASHTENAW COUNTY

Percent of Uninsured Residents All Income Levels

Health Care Coverage Enrollment by TypeAll Income Levels (per 1000 Residents)

People with Low Incomes’ Responses to the Question, “Do You Have a Personal Doctor/Primary Healthcare Provider?”

0

5

10

15

20

25

30

35

40

45

201620152014201320122011