Generations Health Care Initiatives

Twin Ports Health Care Access Program

In 2004, Generations, health care providers, community, and government organizations formed the Twin Ports Health Access Program (TPHAP). The Program strives to expand access to health care services to the uninsured and underinsured population. The Program focuses on three strategies:

1. Eligibility Screening and Enrollment in Available Health Coverage Programs

It is estimated that 25-30% of the uninsured are eligible for an existing health coverage program. There are several barriers to enrollment, including lack of awareness of available programs, belief that one may not be eligible, and difficulty with the application process. A customized software product was developed to address these barriers.

Generations Health Care Initiatives directed development of a internet-based software tool which contains eligibility requirements for over 30 federal, state (Minnesota and Wisconsin) and local programs. The software allows for screening individuals to determine if they are potentially eligible for a health coverage program.

Those who may be eligible are referred to the Lake Superior Community Health Center's Health Care Access Office for information on prgrams and assistance in completing the application process. Hospitals, clinics and community organizations in the Twin Ports area and have access to screening tool and electronically refer uninsured persons to the Health Care Access Office for follow-up.

2. Development of a New Local Health Coverage Programs

Many uninsured people do not qualify for public health assistance programs. For some, their income marginally exceeds the poverty guidelines. In fact, 75% of the uninsured are working adults and most work full-time. Generations is collaborating with health care and businesses leaders to develop a unique, local health coverage program for those below 300% of the federal poverty guidelines.

One such program is ShareCare. Several Duluth/Superior health care providers are now offering a sliding payment program for individuals and families with incomes at or below 300% of the federal poverty guidelines. ShareCare. Services that qualify for reduced payment include inpatient, outpatient and clinic care. There is a strong focus on obtaining a medical home and preventive care. For more information contact the Health Care Access Office.

3. Case Management for Chronic Conditions

Persons with chronic health conditions experience personal challenges as well as financial challenges in maintaining their health. Untreated or unmanaged conditions often lead to medical crises that require emergency care and hospitalization. The TPHAP supports an RN case manager for low-income patients with diabetes at the Lake Superior Community Health Center. The RN ensures that patients receive periodic monitoring, appropriate health screenings, education, and personal support to effectively manage their care. he pharmacy technician helps those with chronic conditions apply for free or reduced payment pharmaceuticals from the pharmaceutical companies.