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