Cook County Health and Hospital’s System

Cook County Health and Hospital’s System


In your response posts, question the value proposition of the approaches two peers selected, and defend the approach you selected if it differs from those of your peers’.


From the programs written in the articles, service to uninsured individuals in any population is one of the best ways to improve affordable care access. Cook County Health and Hospital’s System (CCHHS) is one of the landmarks situated in Chicago over the last 150 years. It has been plagued with financial constraints for many years. In 2011, CCHHS had a deficit of $ 96 million but still was standing as the third public health system in the nation of Chicago (May 2014). The system is intended to serve uninsured people compared to any other peers in the country. 40% of the public health populations in New York City are uninsured, and 85% of the individuals seeking inpatient services at CCHHS have no insurance cover.

When Ramathan Raju took over as the CEO of CCHHS in 2011, he made many innovations and implementations to ensure care is delivered to the underserved populations in the nation. Raju took his time in seeking and hence received a waiver from the federal government. This was meant to establish a demonstration program to expand Medicaid coverage in the coming years (May 2014). The goal of Raju was to ensure that tens of thousands of people are provided with a federal range. The individuals seeking treatment at CCHHS through expensive departments such as ED will be moved to medical homes that can manage their care less expensively. In 2014, after the program has been implemented, the CCHHS reduced the subsidies to $76 million. The county payers will only be contributing 15% of the budget incurred by the overall system compared to the 50% it used to contribute earlier on.

In addition, the County care increased access, especially for the insured residents. To foster on Raju’s saying, “Collaboration rather than competition.” The County care collaborated by initiating 138 public care access points in the area. Raju viewed healthcare as a personal aspect of any person, so decided byo set approaches to reach out to them. Clear messages were putting televisions band print ads to ensure all the people enrolled on county care. He also visited churches every Sunday, telling the congregations about the services they should get accessed to. Raju was later selected as the New York president in charge of Health and Hospitals Corporation to rescue the ailing system.


May, E. L. (2014). Ensuring access to affordable healthcare: successes from the field. Healthcare executive, 29(4), 20-2.

PEER1-JM Cook County Health and Hospital’s System

After reading Ensuring Access to Affordable Healthcare: Successes From the Field. The program I believe has the best chance of improving access as the Affordable Care Act intended is the one implemented by Cook County Health & Hospitals System, Chicago. This is because it is established to better facilitate access for uninsured individuals as the ACA was also intended.

The idea was to give federal coverage for the tens of thousands of patients who were already seeking treatment at CCHHS—usually through expensive venues like the ED—and to shift them into medical homes, where they could manage their care in less expensive primary care settings. The scheme, dubbed “CountyCare,” will assist Cook County cut its contribution to CCHHS by $76 million in 2014. Only the county taxpayers will contribute.

In addition to this, the program increased medical access to the uninsured population. CEO Ramathan Raju believed in “collaboration rather than competition” (May 2014). Throughout the county, CountyCare maintains 138 primary care access stations. “If a CountyCare enrollee isn’t near a CCHHS clinic, he or she can go to any federally recognized health center that is” (May 2014). This facilitates access to healthcare without the hassle of having to submit different applications for financial assistance. If this type of program were to be established Nationwide it would lower the number of individuals whom do not seek care due to cost. It would be like an extension of the ACA for those that do not qualify for insurance or choose not to enroll.

May, E. (2014). Ensuring Access to Affordable Healthcare: Successes from the

Field. Retrieved from accountid=3783

Reply to Thread

PEER2-AK (Cook County Health and Hospital’s System)

Upon carefully reading the information presented, it is my belief that the Cook County Health & Hospitals System, Chicago (CCHHS) has the best chance of improving access the way the ACA intended.

The Cook County Health & Hospitals System, Chicago (CCHHS) already serves more uninsured patients than any other facilities of its kind across the U.S. “With over 8 million Americans enrolled in healthcare plans via the ACA currently, hospitals and health systems face the challenge of sustaining the promise of improved access and better health care” (Lanser, 2014). Access will be improved by Dr. Raju because employed an innovative and ambitious program that reinvented care delivery to one of the nation’s most underserved populations. “The program he created titled “County Care” reduced Cook County’s subsidy to CCHHS by $76 million for 2014” (Lanser, 2014). The taxpayer’s contribution was 50% five years previous and now they will only contribute 15%. Along with that astronomical decrease County Care increased access for thousands of uninsured residents, during its first year CCHHS 147,000 applications from citizens and 87,000 are now enrolled to receive care. Not only did Ramanathan Raju, MD provide access to care to thousands of people he created a personal relationship with the people he cared for and the people he desired to care for. Every Sunday for a year he and his team visited churches on the South and West sides of Chicago to inform citizens about the care what was available to them at County Care. Having the support of trusted members of these communities was more effective than any form of marketing they could buy.


Lanser, E. (2014). Ensuring Access to Affordable Healthcare: Successes from the Field. Retrieved from accountid=3783

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