Delaware State Office of Primary Care & Rural Health

June 16, 2015Annapolis, MD

Rural Roots

Delaware FactoidsIn total area Delaware

ranks 49th in the nation. The sheaf of wheat, ear

of corn, and the ox on the state seal symbolize the farming activities of early Delaware.

39% of state is farmland.

PopulationTotal Population of 935,614

White – 665,221 (71%)Black - 206,770 (22%)Hispanic – 81,398 (8.7%)Asian – 33,682 (3.6%)Indians – 6,549 (0.7%)Amish – 1,500 (0.2%)

Popular ActivitiesState FairNascarPunkin ChunkinFireflyCountry Concerts

Big Barrel (June)Delaware Junction

(August)

Famous DelawareansVice President Joe BidenHenry Heimlich, MDMehmet Oz, MD

Famous DelawareansJoe FlaccoRay Charles “Sugar Ray” LeonardBob Marley

License Plates

# Only12143617566337

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6207

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Karyl T. Rattay, MD, MS

Division Director

Judith ChaconasChief, Bureau of Health Planning & Resources

Management

Katherine Collison

Director, Office of Primary Care &

Rural Health

Joan BarnwellManager, Conrad State 30/J-1 Visa Waiver Program

Carol SchofieldManagement

Analyst III

Daniel IsomAdministrative

Specialist II

Bureau of Health Planning & Resources Management

Is Delaware Rural?Rural ruF r-əl (Merriam Webster)

of or relating to the country, country people or life, or agriculture

of or relating to the country and the people who live there instead of the city

Rural roor-uhl (Dictionary)of, relating to, or characteristic of the country,

country life, or country peopleliving in the countryof or relating to agriculture

Collaboration & PartnershipTechnical Assistance

National Health Service CorpsGrant WritingBoard Development

Conferences/TrainingRural Health ConferenceCultural Competency TrainingRecruitment and Retention ConferenceNational Rural Health DayICD-10 Training

Collaboration & PartnershipPartnerships

FQHCs, hospitals, rural health association, providers

Delaware Rural Health Initiative (Association)Delaware Healthcare AssociationState Agencies (Medicaid, Mental Health)Oral Health Coalition

Recruitment and RetentionNational Health Service CorpsState Loan Repayment ProgramConrad State 30/J-1 Visa Waiver Program

Collaboration & PartnershipPublic Health AccreditationDelaware Center for Health Innovation’

SIM Grant (CMS - $131M)Established a Board of DirectorsEstablished five committees

Clinical Healthy Neighborhoods Patient & Consumer Advocacy Payment Model Monitoring Workforce & Education

Affordable Care Act ImplementationMarketplace GuidesFocus on RuralDecrease UninsuredAnecdotal Information

Consumer ConcernsBusiness Concerns

25,036 enrolled; 22,397 effectuated enrollment (89.5%)

Average Advanced Premium Tax Credit is $265

0%17%

61%

17%4%

Enrollment by Metal Plan

CatastrophicBronzeSilverGoldPlatinum

Marketplace EnrollmentDelawareans saw significant savings on premiums through the use of tax credits

84% of plan selections were eligible for a tax creditAverage monthly premium before tax credits: $404Average monthly tax credit received: $264Average monthly premium after tax credits: $140Premiums were reduced by an average of 65% due

to tax creditsOf those who qualified for premium tax credits, 45

percent picked a plan with a premium of $100 or less after the credits

Rural Concerns and ChallengesAging PopulationRecruitment &

RetentionSubstance AbuseAccess to Mental Health

InpatientOutpatientCrisis Intervention

Access to Oral HealthAdequacy of Health

Insurance

ViolenceArea Health

Education CenterGME

Consortium/Rural Tracks

Future PlansArea Health Education CenterGME Consortium/Rural Tracks