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High-Performance Partnerships - National Academy of Public ...

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TABLE 3-2<br />

DESIGN LAB — PARTNERSHIP CHARACTERISTICS<br />

Partnership<br />

Site<br />

Civic<br />

Involvement<br />

Formal<br />

Partnership<br />

Structure<br />

Service<br />

Delivery<br />

Measurable<br />

Results<br />

Lead Sector<br />

CMS X X X <strong>Public</strong><br />

Denver X X X Nonpr<strong>of</strong>it<br />

Des Moines X X X <strong>Public</strong><br />

Fairfax X X X X <strong>Public</strong><br />

Hampton X X X X <strong>Public</strong><br />

Indianapolis X X Nonpr<strong>of</strong>it<br />

Milwaukee X X X X Nonpr<strong>of</strong>it<br />

NCI X X X <strong>Public</strong><br />

Oakland X X X X <strong>Public</strong><br />

Richmond X X X X <strong>Public</strong><br />

MEDICAL CARE FOR CHILDREN PARTNERSHIP<br />

FAIRFAX,VIRGINIA<br />

Fairfax County, Virginia is a large, economically<br />

powerful suburb <strong>of</strong> Washington, DC. Its<br />

968,000 residents make up 14 percent <strong>of</strong> the<br />

state’s population and nearly one quarter <strong>of</strong> its<br />

economic activity. Its county manager form <strong>of</strong><br />

government is one <strong>of</strong> the largest in the nation.<br />

Despite the county’s prosperity, research data<br />

revealed that Fairfax had approximately 19,000<br />

uninsured children in 1986. The Medical Care<br />

for Children Partnership (MCCP) was born<br />

out <strong>of</strong> this crisis.<br />

Partnership Characteristics<br />

Established in 1986, MCCP is a public/private/nonpr<strong>of</strong>it<br />

partnership that finds a medical<br />

home for children <strong>of</strong> “working poor” families<br />

with incomes ranging from 133 to 250 percent<br />

<strong>of</strong> the federal poverty level. Children receive<br />

comprehensive medical and dental coverage at<br />

an average annual cost <strong>of</strong> $318.50 per child.<br />

Of more than 7,000 clients, Kaiser Foundation<br />

Health Plan <strong>of</strong> the Mid-Atlantic States (Kaiser<br />

Permanente) sees more than 1,000 <strong>of</strong> them<br />

annually. Fee-for-service pediatricians, subspecialists,<br />

and dentists care for the rest.<br />

Fairfax County, through its Office <strong>of</strong><br />

<strong>Partnerships</strong>, covers all administrative expenses<br />

and underwrites 1,400 children.<br />

FAMIS, the Virginia health plan for lowincome<br />

families, does not cover families with<br />

incomes more than 200 percent above the federal<br />

poverty level. Also, it has a kick-out clause<br />

for children who have been covered by private<br />

insurance in the prior six months. MCCP’s<br />

typical families fall in the income range above<br />

200 percent or do not otherwise qualify for<br />

FAMIS. The high cost <strong>of</strong> living in Fairfax<br />

County causes the effective poverty level to be<br />

33 Powering the Future: <strong>High</strong>-<strong>Performance</strong> <strong>Partnerships</strong>

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