1. Friday & Saturday February 15 & 16, 2013 Tucson, Arizona

2. Adolfo Echeveste, ALMA President & CEO Victor Salazar-Calderón, MD, Neurology ALMA Chairperson Adolfo Echeveste, ALMA President & CEO Victor Salazar-Calderón, MD, Neurology ALMA Chairperson Presenters 2 Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

3.  ALMA……Purpose  ALMA was established in May 29, 1993, by Latino physicians banding together to advocate quality (culturally competent), affordable, accessible health care for all Arizona residents  ALMA……# 1 Goal  Establish healthcare services system emphasizing wellness/prevention strategies utilizing a public/private volunteer partnership and innovation to provide healthcare services access to uninsured residents  ALMA……Purpose  ALMA was established in May 29, 1993, by Latino physicians banding together to advocate quality (culturally competent), affordable, accessible health care for all Arizona residents  ALMA……# 1 Goal  Establish healthcare services system emphasizing wellness/prevention strategies utilizing a public/private volunteer partnership and innovation to provide healthcare services access to uninsured residents Overview 3 Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

4.  In pursuit of the ALMA Purpose & # 1 Goal  ALMA MedCard  ALMA objective:  Provide access to health care to uninsured  In pursuit of the ALMA Purpose & # 1 Goal  ALMA MedCard  ALMA objective:  Provide access to health care to uninsured Overview… continued 4 Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

5.  Motivation for ALMA Formation….in 1993  California Pete Wilson Era  Harsh state laws proposed denying healthcare to undocumented immigrants  ALMA Response Organize into an association Organized large health fairs/ clinics for uninsured.  Motivation for ALMA Formation….in 1993  California Pete Wilson Era  Harsh state laws proposed denying healthcare to undocumented immigrants  ALMA Response Organize into an association Organized large health fairs/ clinics for uninsured. 5 ALMA MedCard Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

6. 6 Source: U.S. Census Bureau, Current Population Survey, 1988 to 2011 Annual Social and Economic Supplements Total Population in US of Uninsured - All Races Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

7. Latinos in US and Latinos in US Uninsured for Health 7 Numbers in Thousands Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com Source: http://www.census.gov/hhes/www/hlthins/data/historical/footnotes.htmlhttp://www.census.gov/hhes/www/hlthins/data/historical/footnotes.html

8.  ALMA MedCard (Tarjeta Médica) Evolution  Late 1990’s, early 2000’s  Discount Cards sold over Spanish language TV and Radio from Texas and Florida  ALMA’s response ALMA Tarjeta Médica Application required, printed directory provided, and a minimal fee charged  ALMA MedCard (Tarjeta Médica) Evolution  Late 1990’s, early 2000’s  Discount Cards sold over Spanish language TV and Radio from Texas and Florida  ALMA’s response ALMA Tarjeta Médica Application required, printed directory provided, and a minimal fee charged 8 ALMA MedCard Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

9.  It is Not a Health Insurance Program;  It is a discounted full cash payment option;  For underinsured;  For uninsured families priced out of the health insurance market; and  The lowest cost care will be received from the primary care physician they choose from the ALMA members/providers list.  It is Not a Health Insurance Program;  It is a discounted full cash payment option;  For underinsured;  For uninsured families priced out of the health insurance market; and  The lowest cost care will be received from the primary care physician they choose from the ALMA members/providers list. 9 ALMA…….current MedCard Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

10.  www.almahealthcare.com www.almahealthcare.com  Download the PDF file of ALMA Members/providers, in English or Spanish;  Pick a doctor you need to see  Pricing varies between clinics  Uninsured Need to Establish a Permanent Primary Care Home;  Ask an ALMA physician or clinic for a free ALMA MedCard provided courtesy of their clinic and ALMA or download a card from our web site.  www.almahealthcare.com www.almahealthcare.com  Download the PDF file of ALMA Members/providers, in English or Spanish;  Pick a doctor you need to see  Pricing varies between clinics  Uninsured Need to Establish a Permanent Primary Care Home;  Ask an ALMA physician or clinic for a free ALMA MedCard provided courtesy of their clinic and ALMA or download a card from our web site. 10 Where do you get the ALMA MedCard? Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

11.  Call and make an appointment with one of the ALMA providers; and  Take time to establish a permanent relationship with a primary care physician, as well as their staff.  Your ALMA MedCard allows immediate access  To needed health services and prescription medications at discounted prices.  Disclaimer: Not all ALMA members are in private practice or able to accept the ALMA MedCard. While some non-member clinics accept the MedCard, ALMA policy precludes listing non-members.  Call and make an appointment with one of the ALMA providers; and  Take time to establish a permanent relationship with a primary care physician, as well as their staff.  Your ALMA MedCard allows immediate access  To needed health services and prescription medications at discounted prices.  Disclaimer: Not all ALMA members are in private practice or able to accept the ALMA MedCard. While some non-member clinics accept the MedCard, ALMA policy precludes listing non-members. 11 Where do you use the ALMA MedCard? Arizona Latin-American Medical Association (ALMA) www.almahealthcare.com

12. 12 www.almahealthcare.com Arizona Latin-American Medical Association (ALMA)