Not measuring and paying for equity risks worsening disparities and it is a key missed opportunity for reducing disparities. This issue brief describes actionable opportunities at the state and federal level to measure and pay for equity.
Blueprint for Health Care Advocacy: How Community Health Workers Are Driving Health Equity and Value in New Mexico
Across the health care system, there is tremendous interest and momentum in reforming the way health care is delivered and paid for in order to improve health care quality and outcomes and at the same time, reduce costs. These reform efforts create an enormous opportunity to improve resources, infrastructure, and incentives for interventions to meaningfully reduce racial and ethnic health disparities. Yet, if these reforms are not designed and implemented carefully, they could actually end up making these disparities worse.
A Call to Action for Health Equity Leaders: Health Care Transformation Efforts Must Include a Strong Focus on Health Equity
Our nation’s health care system is rapidly transforming, and the health of people of color and other disadvantaged communities hangs in the balance. Moving to a value-based health care system presents a critical opportunity to achieve health equity. But without particular attention to how disadvantaged communities will be affected and without including these communities in designing these reform efforts, we risk exacerbating disparities in health and health care.
How States Can Fund Community Health Workers through Medicaid to Improve People’s Health, Decrease Costs, and Reduce Disparities
This brief discusses the value of community health workers (CHWs) in improving care while reducing disparities for vulnerable populations. It also walks advocates through how they can get sustainable funding for CHWs in their state.
Medicaid managed care contracting is a promising pathway for securing more sustainable funding for community health workers (CHWs). This issue brief provides examples of contract language that can be used to incentivize or require Medicaid managed care organizations to utilize and fund CHWs and considerations for advocates looking to improve support for CHWs through this pathway.
Health Coverage Matters for Children: The Role of Medicaid in the Healthy Development of America's Children
Access to health care is crucial to children’s health and development. When children have health insurance, they are more likely to get the health care they need. For more than 40 percent of children in the U.S.—approximately 37 million children—Medicaid is the health insurance they rely on. Another 8.9 million children are enrolled in the Children’s Health Insurance Program (CHIP), Medicaid’s sister program. The success of Medicaid and CHIP is largely responsible for the fact that 95 percent of children under 18 have some form of health coverage.
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.
Explains value-based insurance design and high-value care, outlines the key elements that value-based insurance should include.
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.
The State Innovation Model (SIM) grant program gives states funding and technical assistance to design and test new ways to provide and pay for health care. This brief examines the six states that received Round 1 SIM Testing grants to identify best practices for consumer advocate engagement.