This advocacy agenda offers options for improving health and health care at the state level during the 2019 session. It includes state policy options to consider in 2019 regarding private insurance coverage, Medicaid, oral health coverage, health equity, prescription drugs, surprise medical bills, and health care value.
High and rising prescription drug prices force consumers to skip doses or even avoid filling their prescriptions for life-saving medications altogether. Now is the perfect time for Congress to finally begin to take action by passing the bipartisan CREATES Act.
Financial Support for Safety Net and Small Community Providers to Participate in Delivery System Reform: Medicaid-Based Options for States.
As efforts continue to remedy the failures of our health care system by changing how providers are paid and care delivery is organized, it is imperative that achieving health equity be included in the equation. Unfortunately, health system transformation efforts have largely ignored one of our health care system’s most fundamentally wasteful and unfair problems: persistent racial, ethnic, and geographic health and health care inequities. So instead of leveraging the opportunity of health system transformation to accelerate achieving health equity and better health and health care for all, unintended consequences could actually be making inequities worse.
Community Health Workers in Delivery and Payment Transformation: How New Delivery and Payment Models Can Incentivize and Support the Use of CHWs
The current attention on implementing delivery and payment reforms to improve the quality of care and health outcomes while reducing costs creates an important opportunity for greater integration of CHWs into the health care system and for providing more sustainable financing for CHWs. In this brief, we detail how health system transformation initiatives in Vermont and Oregon align with the value that CHWs provide and how these initiatives can incentivize CHW integration.
Bob Berenson, Visiting Scholar and Senior Advisor for Value Initiatives at Families USA, and Alan Lazaroff, American Geriatrics Society, explain in this Health Affairs blog that The Centers for Medicare and Medicaid Services’ proposed rule that makes changes to the Medicare physician fee schedule would worsen payment incentives for clinicians, compromising the quality of care and increasing costs for seniors.
A Framework for Advancing Health Equity and Value: Policy Options for Reducing Health Inequities by Transforming Healthcare Delivery and Payment Systems
Families USA created the Health Equity Task Force for Delivery and Payment Transformation to bring together state and national health equity thought leaders to catalyze much-needed action to leverage health system transformation for the benefit of those whom the health system is leaving behind. Ensuring that people who are facing the biggest barriers to good health and high-quality health care are served well by the health care system will improve care for everyone.
Families USA, Mental Health America, the National Alliance on Mental Illness, and the National Council for Behavioral Health are four nonprofit, nonpartisan organizations that represent health care consumers, including those with mental health and substance use disorders. We have joined together to bring attention to a heath care policy put forth by the Trump administration that expands short-term health insurance plans.
We know how the House Republican bill could affect people who get insurance through the Affordable Care Act (ACA) marketplace and Medicaid. But what has been overlooked is how the bill, known as the American Health Care Act (AHCA), could affect the coverage people get through their jobs. In other words: The Republican bill could make everybody’s coverage worse.
Through our new Community Health Worker Sustainability Collaborative, launched with the support of the Kresge Foundation, we will work with CHW organizations, health care and health equity advocates, policy makers, and other stakeholders to promote using Medicaid funds to provide more sustainable support to CHW programs and better integrate them into the health care system.
We know that unleashing the power of CHWs in communities across the country will make a tremendous difference in health and health care, especially in communities of color.
Nothing about high-deductible plans makes health care more affordable for families. While the Republicans have yet to agree on how they propose to replace the Affordable Care Act (ACA), one thing is clear—whatever they pursue will push more families into high-deductible plans. Every single replacement plan put forth so far would very likely increase deductibles for millions of people.