Fishing Partnership Health Plan
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FPHP Fact Sheet

System Strategy

  • Provide access to high-quality, affordable health care coverage for an under-served population.

  • Federal and State funding used to leverage private investment by making monthly premium payments affordable.

  • Unique financial structure abates current and future risk by: purchasing stop-loss insurance, building a reserve, and building a claims history for a formerly uninsured population.

  • Members of the community perform the Plan’s enrollment and outreach services.


Population

  • 2,100 fishermen and their family members currently covered.

  • Uninsured (43%) and underinsured (prior to joining FPHP).

  • Low income (34% of fishermen earn between 100%-200% of FPL versus 12% statewide).

  • Small businessmen (81% work on boats of four or fewer) and employees work for multiple employers throughout year.

  • Large Italian and Portuguese immigrant populations.

  • Higher than average prevalence of HIV/AIDS, Hepatitis C, Diabetes, and Asthma in the community.


Health Care and Preventive Services

Comprehensive, high-quality health care coverage including:

  • Office visits.

  • Pharmaceutical coverage.

  • Chiropractic.

  • Mental health and substance abuse services.

  • Hospitalization.

  • Emergency coverage worldwide.


Health Related Outcomes

  • Rate of uninsured fishermen dropped from 43% to 13% since 1997.

  • 89% of members satisfied (compared to 41% prior to joining).

  • Members who always or frequently delayed seeking care prior to joining the Fishing Partnership Health Plan fell dramatically, from 30.1% to 6.3% since joining the Plan.

  • Boston University, funded by the Robert Wood Johnson Foundation, is studying the FPHP as a model that could be used for extending access to high quality, affordable health care coverage to other under-served populations.


Economic Dividends

  • For every $1 that was expended, the FPHP provided savings of over $4.00 to the U.S. Federal Government.


Financial Support

  • Federal support of $3.8 million since 1997.

  • State support of $3 million annually through 2012.

  • Fishermen pay 60% of the costs.


Fishing Partnership Health Plan
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