1. The Potential for Healthcare Cooperatives in Rural Areas Travis West Ohio Cooperative Development Center OSU South Centers

2. 29 counties in Appalachia Ohio Only 33 hospitals and 13 rural health clinics available for the total population of 1.45 million Current Situation – Appalachian Ohio

3. Appalachian counties rely economically more on the health care sector for both employment and income generated. 15.2 percent of employment and 14.2 percent of payroll income is generated by the health care industry in Appalachia. Relying on Healthcare

4. Communities want to be attractive to new businesses, but many cannot afford to invest in health care facilities with updated and advance technologies. Many communities are looking for alternate ways to provide adequate services without depleting local resources. What can they Afford?

5. Cooperatives seem to be providing a solution to many communities’ dilemma. The combination of local established businesses joining together to pool their resources and services, creating a desirable economies of scale has solved some communities’ problem with adequate health care services. A Solution?

6. User-owned User-controlled User-benefit What is a Co-op?

7. HospitalsHospitals Home Health Care Insurance Drug Purchasing What Types of Cooperatives Exist?

8. Composed of hospitals Combine services to share staffing (can now provide more services to its patients) Provides claims and financials services Rural Wisconsin Health Cooperative

9. Hospitals Home Health CareHome Health Care Insurance Drug Purchasing What Types of Cooperatives Exist?

10. Home health care services Obtained county contract In-home service to elderly (cooking, cleaning, shopping) Provides employee health insurance Cooperative Care

11. Hospitals Home Health Care InsuranceInsurance Drug Purchasing What Types of Cooperatives Exist?

12. Serves Northeast Ohio small businesses Provides health insurance options for small businesses’ employees Council of Smaller Enterprises

13. Hospitals Home Health Care Insurance DrugDrug Purchasing What Types of Cooperatives Exist?

14. Composed of independent pharmacies Negotiate group purchasing agreements Coordinate a program that attracts new pharmacists to take jobs in small independent pharmacies The Pharmacy Cooperative

15. Florida Comm. Health Purchasing Alliance –Inability to get more providers (small bus.) Does it work in all Situations?

16. Co-ops are a business model that can assist rural communities Not the cure-all, but a viable option Access to healthcare an issue for rural areas Summary

17. Travis West west.222@osu.edu 1-800-297-2072 x220 http://ocdc.osu.edu Contacts