Annual Conference October 14 2016 The Sycamore Institute is an independent nonpartisan public policy center for Tennessee MISSION To provide accessible reliable data and research in pursuit of sound sustainable policies that improve the lives of all Tennesseans ID: 795266
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Slide1
Tennessee Charitable Care Network
Annual Conference
October 14, 2016
Slide2The Sycamore Institute is an independent, nonpartisan
public policy center for Tennessee.
MISSION
To provide accessible, reliable data and research in pursuit of sound, sustainable policies that improve the lives of all Tennesseans
Slide3HISTORY
Founded in 2015 as a wholly owned subsidiary of
The Healing Trust
Two years of planning & preparation
Vision – getting upstream
Organizational planning
Capacity & resources
Independent in 2016
Slide4UNWAVERING COMMITMENTS
Nonpartisan work, bipartisan stakeholders
Focus on data and research
Flexibility to engage different audiences
Listening and communicating in ways people can hear
Transparency, credibility and accountability
Agility
Collaborative
Diverse and inclusive
Unifier
Iterative
Slide5ACCESSIBLE & RELIABLE
OUR
RESEARCH
STATE BUDGET
HEALTH POLICY
PROACTIVE
POLICY ANALYSIS
RESPONSIVE
POLICY ANALYSIS
FOUNDATIONAL
KNOWLEDGE-BUILDING
STATE BUDGET PRIMER
STATE HEALTH INDEX
POLICY BRIEFS
LEGISLATIVE ANALYSIS
BLOG POSTS
PROCESS & DATA ANALYSIS PRIMERS
TECHNICAL ASSISTANCE
2016-2017
Slide6STATE BUDGET
PRIMER
Slide7WHAT IS
THE
STATE
BUDGET?
An
accounting of all
the money coming into and
going out of the state government
A statement of public
policy priorities and
a vision & direction
for the state
Slide8WHAT IS
THE
STATE
BUDGET?
Health & Social Services
EXPENDITURES
Education
All Other Expenditures
State Taxes
Federal Funds
All Other Revenues
REVENUES
FY 2016-2017 RECOMMENDED TENNESSEE STATE BUDGET
TOTAL: $34.8 BILLION
Sources: The Sycamore Institute analysis of “Total State Budget: Comparison of Programs and Revenue Sources” and “Comparison Statement of State Revenues” from the FY 2016-2017 Tennessee State Budget
Slide9Slide10FY 2014-2015
OUTCOME
OF
THE
BUDGET
PROCESS
Sources: “Total State Budget: Comparison of Programs and Revenue Sources” from the FY 2014-2015, FY 2015-2016, and FY 2016-2017 Tennessee State Budgets
Slide11STATE
TAX
REVENUES
Sales Tax
Other Taxes
STATE TAX REVENUES
Sources: The Sycamore Institute analysis of “Comparison Statement of State Revenues” from the FY 2016-2017 Tennessee State Budget; Cheryl Lee, Edwin Pome, Mara
Beleacov
, Daniel
Pyon
, and Matthew Park, “State Government Tax Collections Summary Report: 2014,” Economy Wide Statistics Brief, U.S. Census, April 16, 2015, Available at http://www2.census.gov/govs/statetax/G14-STC-Final.pdf.
Corporate Taxes
Selective Sales Taxes
Income Taxes
Slide12HEALTH & SOCIAL SERVICES
TennCare
EXPENDITURES
Department of Human Services
All Other Health & Social Services
Federal Funds
State Taxes
All Other Revenues
REVENUES
FY 2016-2017 RECOMMENDED TENNESSEE STATE BUDGET
HEALTH & SOCIAL SERVICES
TOTAL: $15.8 BILLION
Source: The Sycamore Institute analysis of “Comparison of Programs” and “Budget by Functional Area” from the FY 2016-2017 Tennessee State Budget
Slide13BUDGET
TRENDS
CUMULATIVE BUDGET GROWTH
Sources: The Sycamore Institute analysis of “Total State Budget: Comparison of Programs and Revenue Sources” and “Comparison Statement of State Revenues” from the FY 1996-1997 – FY 2016-2017 Tennessee State Budgets
FY 1994-1995
FY 2014-2015
Federal Funding
State Taxes
Total Budget
253%
145%
185%
Slide14BUDGET TRENDS
State Taxes
Federal Funds
All Other Revenues
TENNESSEE HISTORICAL BUDGETS BY REVENUE SOURCE
Sources: The Sycamore Institute analysis of “Total State Budget: Comparison of Programs and Revenue Sources” and “Comparison Statement of State Revenues” from the FY 1996-1997 – FY 2016-2017 Tennessee State Budgets
Slide15BUDGET TRENDS
AVERAGE ANNUAL TENNCARE SPENDING GROWTH
v
s. OTHER HEALTH CARE SPENDING
Sources: TennCare information from The Sycamore Institute’s analysis of “Comparison of Programs” from the FY 1996-1997 – FY 2016-2017 Tennessee State Budgets; Medicaid, private health insurance, and national health expenditures information from “NHE Historical and Projections, 1960-2025,” Centers for Medicare and Medicaid Services, available from https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/NationalHealthAccountsProjected.html.
Slide16HEALTH POLICY
Slide17Social and Environmental Factors
20%
Genetics
30%
Individual Behavior
40%
Health Care
10%
HEALTH &
WELL-BEING
IMPACT OF DIFFERENT FACTORS
ON RISK OF PREMATURE DEATH
Source: Kaiser Family Foundation’s analysis of Schroeder, SA. (2007). We Can Do Better – Improving the Health of the American People.
NEJM
. 357: 1221-8.
Slide18Research approach to health policyDoes the policy…
Improve the health status of individuals, families & communities?
Defend the population against what threatens its health?
Protect people against the financial consequence of poor health?
Provide equitable access to people-centered care?
Make it possible for people to participate in decisions affecting their health and health system?
Understand and protect against social determinants of health?
Source: : World Health Organization’s “Key Components of a Well-Functioning Health System”
HEALTH
POLICY
Slide19What are the most important health policy issues on the horizon for Tennessee?
What issues and research questions do you recommend we explore?
FEEDBACK
Slide20THANK YOU!
MANDY PELLEGRIN
Director of Health Policy
mpellegrin@sycamoreinstituteTN.org
(629) 888-9784
www.sycamoreinstituteTN.org
@
sycamoreTN
thesycamoreinstitute