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What grants and other sources of public funding is HealthShare Exchange of Southeastern PA pursuing?

Because of HealthShare Exchange’s expected impact on the quality and cost of care delivered in Pennsylvania’s largest metropolitan area, the organization has received strong support from government funders. Two grant sources are anticipated:

  • Through funds originally allocated from the federal HITECH Act, the Commonwealth’s Community Shared Services grant program was established to support the implementation of regional health information exchange and provide financial sustainability for the new Pennsylvania eHealth Partnership Authority.
  • In recognition of the positive impact of health information exchange, the Centers for Medicare & Medicaid Services (CMS) has made available Medicaid 90/10 enhanced funding to states, to support the development of HIE. Enhanced funding is available for HIE start-up costs and is allocated based on the extent to which the Medicaid program will benefit from the HIE services. Medicaid funding is contingent on demonstrated commitments from other benefiting stakeholders.

Funding from the CMS Medicaid grant is included in HealthShare Exchange of Southeastern Pennsylvania’s year-one funding model.

What is the status of the Community Shared Services state grant?

HealthShare Exchange of Southeastern Pennsylvania applied for a Community Shared Services (CSS) state grant in the amount of $1.5 million.  It was received in December 2012 and includes provisions for payment of a 75 percent stakeholder match to be paid back to the state over a period of one year to help fund the Community Shared Services capabilities needed for health information exchange on a statewide level. The statewide exchange will eventually build capacity for exchange among the regional HIEs in Pennsylvania and care providers in New Jersey, Delaware, and other states.  

The schedule for payment of the 75 percent stakeholder match to the Commonwealth is as follows:

  • $225,000 at the grant signing;
  • $375,000 on January 1, 2013;
  • $375,000 on March 1, 2013;
  • $225,000 on June 1, 2013.

The first two payments have been made to the Commonwealth.

What is the status of the federal Medicaid grant?

On behalf of HealthShare Exchange of Southeastern Pennsylvania, the Pennsylvania Department of Public Welfare has prepared a draft funding request and plans to send submission to the Centers for Medicare & Medicaid Services.  It is anticipated that a decision on HealthShare Exchange’s grant submission would occur in Q2 of 2013.