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.
Half of U.S. children with special health care needs, nearly 7 million children, rely on Medicaid/Children’s Health Insurance Program (CHIP) for health insurance to cover some or all of their medical care. Medicaid and CHIP cover 48 percent of children with special health care needs. CHIP, which covers low- to moderate-income children above the Medicaid income limit, is administered by states sometimes as a separate program, but often through state Medicaid programs. This issue brief explores why Medicaid plays a unique role in serving children with special health care needs.
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.
As part of their tax obligation to provide benefits to the community beyond hospital care, nonprofit hospitals can fund oral health initiatives such as community dental clinics, mobile dental services, vouchers for dental care and oral health advocacy coalitions in the communities they serve. In this issue brief we explain how to advocate for such initiatives.
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.
Explains what Medicaid Section 1115 waivers are and how advocates can take advantage of new rules that give them a bigger voice in the waiver process.
Learn how new rules implemented by the Trump Administration will affect marketplaces and what individual states can do to respond.
Millions of people in this country face significant barriers to obtaining the basic dental care they need to achieve good oral health. As a result, more than half of people in the U.S. go without any dental care each year, and many struggle with untreated dental disease that can have far-reaching, serious effects on their overall health.
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.