Planned Parenthood’s in a System Role Planned Parenthood today of Coordinatedserves the patients of tomorrow’s Coordinated Care Organizations: low-income, diverse, uninsured, Care and high risk individuals.

Among the low-income, Medicaid As an internationally respected brand, eligible population that will be patients trust Planned Parenthood’s served by Oregon’s new Coordinated credibility and expertise. For pennies on Care Organizations (CCOs), health the dollar, we reduce the risk of unplanned disparities are prevalent – and costly. pregnancies, minimize damage from the pandemic of STDs, and play a crucial role As a safety net provider, Planned in the early detection of cervical and Parenthood today serves as a critical breast cancers. entry point into the health care system for tens of thousands of low-income Planned Parenthood has the experience, women. As CCOs assume responsibility expertise, data, capacity and passion for this new, high risk population, our to address the sexual and reproductive experience and expertise can provide health needs of our most vulnerable CCOs with a critical advantage in delivering populations. high quality care that improves health outcomes while reducing Working together, Planned health care costs. Planned Parenthood’s data-driven, Parenthood and CCOs protocol based preventive care, education, and follow-up can improve the health of services to these same under- served populations has proven underserved populations effective over decades of development and care delivery. while reducing costs. PLANNED PARENTHOOD’S ROLE IN A SYSTEM OF COORDINATED CARE

IN 2010, 10% WhoAre We Who We PP PROVIDED: 8% Serve Since 1963, Planned Parenthood, the largest sexual and reproductive health organization in Oregon and SW Washington, has provided a broad 2% Low-income and overwhelmingly uninsured or over 1.5 million underinsured, our patients represent the population range of sexual and reproductive health care, family planning and other units of birth control, including birth control targeted by the Affordable Care Act, and the future medical services; trained and educated community members on issues pills, IUDs, the patch, condoms, and more. 7% of sexual health; and advocated for the protection of reproductive rights. of any Coordinated Care Organization. 58% Operating 19 health centers, Planned Parenthood sees more than 87,000 Each year, Planned Parenthood provides more than patients each year. Planned Parenthood serves 64,781 15% 131,000 visits to more than 87,000 women, men and One in five women in more low-income women in Oregon seeking Emergency Contraception pills teens in Oregon and SW Washington. Our patients sexual and reproductive health care than any reflect the growing, rich tapestry of race and ethnicity the U.S. has visited a other provider. Planned Parenthood 49,260 that compromises our region’s population. health center at least Nationwide, Planned Parenthood serves STD tests and treatment Uninsured or under-insured, the demographic we serve 3 million women and men each year. For many often under-utilizes health care services and experiences once in her life. women, Planned Parenthood is their entry point disproportionately high rates of cervical cancer, STDs into the health care system. 39,365 planned parenthood’s patient population as and unintended pregnancy. pregnancy tests a percentage of the federal poverty level (fpl) In addition to providing standardized, evidence- According to a 2011 report from the Institute of based protocols of care, Planned Parenthood Medicine, the rate of cervical cancer screening varies 0-100 fpl%...... 58% 201-250% fpl...... 2% Federation of America’s data warehouse offers 20,429 substantially by race, ethnicity and education. More one of the richest sources of sexual and Pap tests to screen for cervical cancer than half of all cervical cancers, an almost entirely 101-150% fpl...... 15% >250% fpl...... 8% reproductive health information in the world. preventable disease, occur among unscreened or 151-200% fpl...... 7% unknown...... 10% under-screened women. Similarly, Hispanics, African 5,287 Americans and those with lower socioeconomic status HIV tests oregon population below 100% fpl...... 13.60% experience significantly higher rates of STDs. With large volumes of patients representing those populations traditionally underserved by the health care system and experiencing the greatest disparities At Planned What We Do 2 | We Keep in health, Planned Parenthood’s engagement with these Parenthood, populations represents an opportunity to involve these Planned Parenthood’s services focus on preventive health care. Women and we offer almost Reasons communities in a fully insured health care system, reduc- More than 95% of the health care services Planned Parenthood every type of Our Families ing costs while reducing disparities in health. provides are preventive, including low-cost birth control, emergency 1 | We’re Good birth control contraception, gynecological exams, breast cancer screenings, cervical 3 Why Planned patients Healthy available, and At What We Do come to cancer detection and treatment, sexually transmitted disease (STD) we work with every patient to find a us because they know we’re experts in testing and treatment, pregnancy testing and options information. method of birth control that works for non-white patient population Parenthood Is sexual and reproductive health care. They each person and lifestyle. Our clinicians in comparison to oregon know they can talk to us about their sex So Important treat each patient as an individual to lives confidentially and without judgment. ppcw ppso oregon 2010 customize a long-term birth control plan We help our patients stay healthy, prevent that enables them to plan their families 14% disease, and plan their families. PPCW PPSO and stay healthy. 12% patient patient We prevent unintended pregnancies We’re 10% services services through contraception, reduce the 3 | Patients extremely spread of STDs through testing and 8% Trust Planned cautious family planning...94.0% family planning....98.5% treatment, screen for cervical and breast & std testing and treatment & std testing and treatment and 6% cancers, and educate youth so they Parenthood respectful abortion care...... 4.7% abortion care...... 1.0% can make informed choices about their 4% of patient confidentiality, and by doing sexual and reproductive health. Our so we’ve earned our patients’ trust. And 2% sterilization...... 0.9% cervical cancer caring physicians, nurse practitioners, because we’ve earned patient trust, 0% (vasectomy) prevention...... 0.5% other medical staff and educators take (colposcopies) we’ve become an entry point into the cervical cancer time to talk with patients, encouraging health care system for many. Reducing asian prevention...... 0.4% them to ask questions in an environment (colposcopies) barriers like this to health care access hispanic that millions have grown to trust. leads to positive outcomes for everyone. multi-racial/ pacific islander african american other/unkownnative american Providing Yet this only tells part of the story. According to the Institute of Medicine Effective Sexual and (IOM), women experiencing an unplanned Few health care investments offer a pregnancy are more likely to: better risk to reward ratio than sexual Reproductive Healthand reproductive Care health. According to • Receive later or no prenatal care; Can Improve the Institute of Medicine’s report, “Clinical • Smoke and consume alcohol Preventive Services for Women,” during pregnancy; Health Outcomes Contraception alone • Be depressed during pregnancy; and, While Reducing returns four dollars • Experience domestic violence for every dollar spent. during pregnancy. Short and Long U.S. children born as a result of unintended Here in the Northwest, a 2011 study by pregnancies are at increased risk for Term Health the State of Washington estimated that preterm and low birth weight. All of Care Costs each pregnancy avoided resulted in these factors contribute to higher health one year savings of $16,878. CCOs that care and societal costs well beyond year provide effective family planning services one. Thus, effective delivery of sexual will have a significant short term com- and reproductive health services can petitive cost advantage provide significant long-term cost savings as well.

dropped significantly in the United did not take into account the costs States between 1994 and 2001, it actually associated with infertility which can Low Income rose nearly 25% for women living at or arise from STDs such as Chlamydia. below 200% of the federal poverty level Planned Parenthood’s expertise in Women are – the target population for CCOs. $ helping women plan pregnancies, providing family planning services, at Highest Risk The cost of unplanned treating and preventing STDs, and teen pregnancy in providing early cancer screening make for Unintended 2010 alone was us a critical partner for CCOs. Pregnancies nearly $12 billion.

Unfortunately, most unplanned pregnan- While the financial impact is not as sexual health disparities cies occur among individuals living at or great for sexually transmitted diseases in oregon near the federal poverty level – many of (STDs), the story is much the same. The • Hispanics currently experience a teen whom will be served by the new CCO Guttmacher Institute estimates the total birth rate more than six times higher networks. According to the National burden of the nine million new cases than other populations Campaign to Prevent Teen Pregnancy, of these STDs that occurred among 15- women living at or below 100% of the 24-year-olds in 2000 was just over $10 • Chlamydia and gonorrhea rates are five federal poverty level have the highest billion (in 2011 dollars). times higher among African-Americans rate of unintended pregnancy, 62%. The than other populations National Campaign estimates that the And though HIV and HPV were by far cost of unplanned teen pregnancy in the most costly STDs in terms of total • HIV is three times more common among 2010 alone was nearly $12 billion. And estimated direct medical costs, accounting Native Americans than other populations while the unintended pregnancy rate for 90% of the total burden, this study

Contact Us David Greenberg, President & CEO Cynthia Pappas, CEO If you would like to learn Planned Parenthood Columbia Willamette Planned Parenthood Southwestern Oregon more about working with 3727 NE Martin Luther King, Jr. Blvd. 360 E. 10th Avenue, Suite 104 Planned Parenthood to Portland, OR 97212 Eugene, OR 97401 ensure the health of your (503) 775-4931 x3301 (541) 344-2632 x11 www.ppcw.org patients, please contact: [email protected] [email protected] www.ppsworegon.org