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.
This brief highlights the value of integrating CHWs into maternal and child health care delivery to effectively address a range of health care concerns and conditions for children and families, offering examples of specific initiatives that are promising or have demonstrated impact in improving health care and health outcomes for children of color.
Washington, D.C.—On Tuesday, September 18, Families USA held a press telebriefing to discuss what’s at stake for Medicaid in the upcoming November elections. The call included leaders of Medicaid expansion ballot initiatives and a review of key state elections that may affect Medicaid expansions and waiver proposals.
Update: Judge O’Connor heard oral arguments in Texas v. United States on September 5, summarized in this Health Affairs article. It is not clear how quickly the judge will rule on a preliminary injunction. The Department of Justice, despite arguing to undo preexisting condition protections, has admitted that a negative decision, even if appealed, would bring chaos and uncertainty during open enrollment this fall.
2018 has been a year of opportunity when it comes to state legislation to address the high and rising prices of prescription drugs. Families USA has identified some of the 2018 state legislative sessions’ biggest victories on the issue of prescription drug costs, along with significant legislation considered in the 2018 session that may be on the agenda again in 2019.
Summer isn’t over, but the comment periods for three critical state Medicaid proposals will end before Labor Day. Each of the proposals will mean more red tape and frustrations for families seeking health care in Alabama, New Hampshire, and Oklahoma.
This week, as part of the Childhood Asthma Leadership Coalition (CALC), Families USA and other coalition members submitted comments to the Environmental Protection Agency (EPA) expressing concern with the proposed rule, “Strengthening Transparency in Regulatory Science,” which would limit the use of critical research in EPA decision-making. We believe this rule would have the effect of erecting barriers to science-based decisions in the regulatory process, and could remove consideration of public health studies that might otherwise improve health outcomes of children with asthma.
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.