Repository: UIHistories Project: Board of Trustees Minutes - 1972 [PAGE 666]

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656

BOARD OF TRUSTEES

[June 21

of a contract with the Illinois Department of Public Aid for the implementation of this program. I concur. O n motion of M r . Neal, this recommendation was approved. Summarization of Proposed Contract for a Prepaid Health Care Program Between the University of Illinois and the Illinois Department of Public Aid Within the past decade, prepaid health care programs have become increasingly popular, and within more recent years the Nixon and Ogilvie administrations have strongly encouraged the use of these techniques as mechanisms that would provide better health care at lower cost. This proposal would represent our first venture into this important area and would hopefully provide valuable experience, would enhance our image in the Valley Community in demonstrating concern for the health care needs of the populace, and would facilitate better understanding with the State Department of Public Aid. Programs of prepaid health care are expected to demonstrate the following: 1. Improvement of specific health services resulting from anticipation of health needs and provisions for early diagnosis and treatment. 2. Development of effective programs of prevention and health promotion, designed to improve the level of health of individuals being served. 3. Reduced administrative requirements and costs to the patients and thereby the State through a single payment for health services provided enrollees. 4. Controlled surveillance of quality of available health services covered under the State Plan for Medical Assistance. 5. A method of evaluating and controlling rising health care costs. A proposed contract would provide that residents of the Valley Community eligible for Public Aid may voluntarily enroll in the program. Each enrollee would agree in writing to accept all health services for himself and his dependent family members through the Hospital's Valley Outpost Clinic for the duration of subscription time in six-month increments. The services provided would include : 1. Screening and preventive services, 2. Diagnostic, rehabilitative and other health services, 3. Inpatient hospital care, 4. Outpatient services, 5. Physician's services, 6. Nursing services, 7. Pharmaceutical services, 8. Home health care services, 9. Eye care including eyeglasses, 10. Dental care, 11. Medical supplies and equipment, 12. Prosthetic devices, 13. Transportation to and from source of care, 14. Extended care, 15. Outreach services, such as home visits by community health aides, Board of Health referrals, and special programs of health education. Most services would be made available directly from University of Illinois facilities, including the Valley Outpost Clinic; however, the University, as the principal contractor, might subcontract some services to other institutions such as Oak Forest Hospital for nursing home care. In return for providing health services to enrollees, the Department of Public Aid would make a monthly per capita payment of $33 to the University, regardless of whether or not the enrollee actually received any services. (The initial premium is based on a Cook County Department of Public Aid per capita cost study made in 1969 as adjusted for inflation. This total essentially agrees with per capita costs for 1972 as estimated by the Michigan District of the Cook County Department of Public Aid.) Payments would be deposited in a special fund, and all charges related to services rendered would be charged against this fund. The University may annually propose adjustment of the capitation rate.