policy road map for health equity: outlook and opportunities
DESCRIPTION
Policy Road Map for Health Equity: Outlook and Opportunities. Minnesota Community Health Worker Alliance Statewide Meeting Michael Scandrett, JD Emily Zylla, MPH Halleland Habicht Consulting June 5, 2014. Topics for Today:. Health care reform & health coverage - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/1.jpg)
Policy Road Map for Health Equity:Outlook and Opportunities
Minnesota Community Health Worker Alliance Statewide Meeting
Michael Scandrett, JDEmily Zylla, MPH
Halleland Habicht Consulting
June 5, 2014
![Page 2: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/2.jpg)
Topics for Today:
1. Health care reform & health coverage
2. New provider care delivery and payment models
3. Health equity policy developments4. Opportunities for CHWs
2
![Page 3: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/3.jpg)
1. Health Care Reform& Expansion of Health
Coverage
3
![Page 4: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/4.jpg)
Background: the American Health Care
SystemMore expensive than other countriesPoorer health of the populationHighly variable quality, effectiveness and
safetyInadequate preventionPoor management of chronic diseasePerverse financial incentivesUnsustainable cost increases
4
![Page 5: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/5.jpg)
Background: the American Health Care
System
5
![Page 6: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/6.jpg)
ConsequencesDecreased worker productivityRising costs contribute to government
budget deficits and divert resources from other government priorities
Erodes health insurance coverage and benefits
More uninsured and underinsuredPersistent health disparities
6
![Page 7: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/7.jpg)
Federal Reforms: 2010Affordable Care Act (ACA)
Medicaid Expansion Health Insurance Exchanges: a marketplace
to buy insuranceRegulations of Private Health Insurance Reforms to Provider Payment MethodsIncreased Prevention and WellnessAnd more….
7
![Page 8: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/8.jpg)
ACA: Expands Health Coverage
Individual Mandate
Health Insurance
Market Reform
Medicaid Coverage
(Up to 133% FPL)
Exchanges(Subsidies for 133
– 400% FPL)
Employer Sponsored Coverage
Universal Coverage
8
![Page 9: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/9.jpg)
Overall, Minnesota rate of Uninsured Ranks #3…HOWEVER…
9 20- 29% (14 states)Less than 20% (14 states) 30-49% (16 states)
More than 50% (7 states, including DC)
SOURCE: KCMU/Urban Institute analysis of 2011 and 2012 ASEC Supplements to the CPS.
Uninsured Rates in “Communities of Color”
![Page 10: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/10.jpg)
10
Disparities in Insurance Coverage
Source: MDH, Health Economics Program
![Page 11: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/11.jpg)
MN Coverage Options
1111
![Page 12: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/12.jpg)
Minnesota’s Health Insurance Marketplace223,000 Enrollments to Date
126,039 in Medicaid46,417 in MinnesotaCare50,733 in Qualified Health Plans
Navigators help consumers choose a health plan and enroll
Many problems with MNsure’s start-tup
12
![Page 13: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/13.jpg)
Impact of ACA on Uninsured
Source: Gruber/Gorman Analysis, Prepared for Health Care Reform Task Force, MN, 2012
Estimated Uninsured in MN, With & Without ACA
13
![Page 14: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/14.jpg)
Preview: Access to care 5 years after reforms enacted
14
![Page 15: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/15.jpg)
But, the ACA has not solved the problem of the
uninsured
15
![Page 16: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/16.jpg)
The Remaining Uninsured:201,000
Source: Gruber/Gorman Analysis, Prepared for Health Care Reform Task Force, MN, 201216
![Page 17: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/17.jpg)
Reason for Coverage Gap
17
![Page 18: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/18.jpg)
Compared to the Insured Population, the Uninsured are…
Younger: almost twice as likely to be under 34 years of age (54% uninsured vs. 29% insured)
Poorer: over twice as likely to have income below 200% of poverty (56% vs. 27%)
More Diverse: almost twice as likely to be from a community of color (32% vs. 19%)
Less educated: nearly twice as likely not to graduate from high school (8.3% vs. 5.2%)
Single: over twice as likely to be unmarried (44% vs. 21%)
Male: a third more likely to be male (63% vs. 47%)
18
![Page 19: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/19.jpg)
The Remaining Uninsured: Undocumented Immigrants
The largest category of the remaining low-income, uninsured Minnesotans is people who are not eligible for MA or the MNsure Exchange due to their immigration status
Most uninsured immigrants seek care from safety net providers: Community Health Centers, community dental and mental health providers, and public hospitals and clinics
The only State of Minnesota program for these Minnesotans is Emergency Medical Assistance, which covers emergency care and hospitalization
19
![Page 20: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/20.jpg)
Uninsured Immigrants: Future Policy Opportunities Emergency Medical Assistance (EMA):A DHS Report on EMA called for expanding the coverage and benefits for undocumented immigrants2014 Legislation requires a report to the 2015 Legislature on possible improvements to the EMA programFunding for Safety Net Providers:2014 Legislature provided additional grants to safety net providers to serve uninsured patients2015 is a State Budget Session where funding for the uninsured will be decided
20
![Page 21: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/21.jpg)
Health Coverage: Opportunities for CHWs
MNsure outreach to communitiesMN enrollment navigation and assistanceAdvocacy on behalf of communities of
color:MNsure advisory committees and BoardState agenciesMN state legislaturePolitical campaigns
21
![Page 22: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/22.jpg)
QUESTIONS
22
![Page 23: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/23.jpg)
2. New Provider Care Delivery
and Payment Models
23
![Page 24: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/24.jpg)
“Triple Aim” of Health ReformImprove the health of the patient
populationImprove the patient/consumer experienceImprove the affordability of health care
24
![Page 25: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/25.jpg)
2008 & 2010 Minnesota ReformsNew Care Models:
Health Care Homes & Care Coordination
Quality Measurement: for payment, consumer information, and accountability
Payment Reform: Evolving to pay for VALUE rather than VOLUME
Minnesota: Ahead of the Curve
25
![Page 26: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/26.jpg)
New Care Models
A primary care provider or team
Certified by MDHPaid a monthly per-person
care coordination fee Partner with and engage
the patient/family to improve health and manage chronic conditions
Coordinate all needed services, with EHR & IT
Address non-clinical factors affecting health
Health Care Homes
26
![Page 27: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/27.jpg)
Accountable Care Organization
A network of clinics and health care providers who take responsibility for managing the health, quality and total cost of care (TCOC) for their patients
In Minnesota, ACOs serving patients enrolled in Medicaid and MinnesotaCare are called “Integrated Health Partnerships” (IHPs) and were formerly known as “Health Care Delivery Systems” (HCDS).
27
![Page 28: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/28.jpg)
MN ACOs:Integrated Health
Partnerships (IHPs)Medical Assistance/MinnesotaCare ACOs in MNDHS contracts directly with IHPs in a new way to
serve a specified patient populationIHPs provide needed services for the patients
attributed to their clinics“Gain sharing” payments made if the IHP
reduces the total cost of care for attributed patients while maintaining quality of care and patient satisfaction
Nine IHP projects are underway; more are coming
28
![Page 29: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/29.jpg)
Who is Establishing ACOs?Large integrated hospital-clinic
organizationsAlliances of independent clinics and
hospitalsSafety Net Providers serving low-income
and underserved populationsCounty health care, social service and
public health agencies
29
![Page 30: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/30.jpg)
ACOs and Safety Net Populations
Early models were developed by large hospital-clinic companies working with large employers serving a mainstream, middle-class population.
Will ACOs work in Safety Net Settings?Cultural competence and socio-economic
factorsCo-occurring MI and chemical dependencyNon-medical services needed (housing,
transportation, etc.)Risk-adjustment for higher costs, poorer
outcomes30
![Page 31: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/31.jpg)
IHP: Shared Savings
31
$120,000,000
$130,000,000
$140,000,000
$150,000,000
$160,000,000
$170,000,000
$180,000,000
1 2 3 4 5 6
MA
Spen
ding
per
Dem
o
Year
State
HCDS
SharedSavings
![Page 32: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/32.jpg)
FUHN (FQHC Urban Health
Network)
32
FUHN is a “Virtual” IHP (made up of independent clinics)
Ten FQHCs working in partnership:AXIS Medical Center, Cedar-Riverside Peoples
Center, Community University Health Care Center, Indian Health Board of Minneapolis, Native American Community Clinic, Neighborhood HealthSource, Open Cities Health Center, Southside Community Health Services, United Family Medicine, West Side Community Health Services
OPTUM provides data analysis and other expertise
![Page 33: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/33.jpg)
FUHN Project Goals:
5/21/2013
Improved Access to High Quality Primary Care
Improved Clinical QualityImproved Consumer
Engagement and Satisfaction
Reduced Total Cost of Care
33
![Page 34: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/34.jpg)
Challenges: What will it takefor an IHP to succeed?Effective Team-based Primary Care servicesRobust Care CoordinationPatients actively engaged in their care and healthCommunities actively engaged in improving
population healthHealth Information Technology (HIT) systems to
support care coordination and quality and cost management
Health Information Exchange (HIE) systems to help provider networks coordinate care
34
![Page 35: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/35.jpg)
DHS Projects: The Next WaveMore HCDS projects will coming online in 2014State’s goal: cover 50% of the Medicaid
population in ACO/IHPs (excluding elderly and people with disabilities)
ACOs are expanding in the private sector, tooExpanding to additional service: intensive
mental health, long-term care, and home and community-based services for complex populations
SIM Grant - Accountable Communities for Health
35
![Page 36: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/36.jpg)
State Innovation Model (SIM) Grant$45 million grant from CMSExpansion of ACO/IHP models
Especially small and rural providers, safety-net providers, and providers who are not part of large integrated health systems
Project Goals: Transform care deliveryAccelerate adoption of ACO models in MedicaidEnsure providers are able to securely
exchange dataCreate “Accountable Communities for Health”
36
![Page 37: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/37.jpg)
SIM Budget Allocations$23M for health information
technology, secure exchange of health information and data analytics
$6.3M for practices to improve care coordination
$2.5M for quality and performance measurement
$10M to support up to 15 Accountable Communities for Health
37
![Page 38: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/38.jpg)
Accountable Communitiesfor HealthExpand IHP Accountable Care model beyondtraditional acute care services to include:
Non-clinical services affecting patients’ health, including social services, public health, housing
Community-wide prevention efforts to improve overall health and reduce chronic disease
Behavioral Health, Long Term Care, and Home and Community-based Services
Measurable community-wide goals for improved population health, health care and cost management
Roles for citizens, employers, providers, health plans, government and communities.
38
![Page 39: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/39.jpg)
Measuring QualityUnder the new care models and payment
reforms, reducing future costs is necessary but not sufficient
Providers must meet also meet standards of quality and patient satisfaction
Standardized quality measures are measured and reported through Minnesota Community Measurement and the Minnesota Department of Health
39
![Page 40: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/40.jpg)
SQRMS
All providers measured using standardized statewide quality measures under Minnesota’s Statewide Quality Reporting and Measurement System (SQRMS)
Currently SQRMS does not collect or report data by race, ethnicity, language (REL), or socio-economic status (SES) such as income, homelessness, and gender identity and sexual preference
40
![Page 41: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/41.jpg)
Healthcare Education & WorkforceHealth professional education is lagging
behind emerging workforce trends:Increased reliance on primary care providersMultidisciplinary, team-based careUse of allied, mid-level and paraprofessional
practitionersSkilled in using EHR, HIE and data to drive
care deliverySkilled at patient and community
engagementCultural competency and relevance41
![Page 42: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/42.jpg)
Recap of Trends1. Care coordination of all health care services needed
by a patient 2. Services delivered through multi-disciplinary primary
care teams.3. Provider accountability for quality, health outcomes
and costs using standardized measures.4. Improved patient satisfaction and engagement in
their own health and health care.5. New payment methods and financial incentives for
providers to reduce the total cost of care through prevention, early management of disease, and efficient, effective care.
6. Use of health information technology to improve care and reduce costs.
7. New: Coordination of health care with non-health care services to address social determinants (poverty, race/ethnicity, literacy, homelessness, etc.) and reduce health disparities.42
![Page 43: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/43.jpg)
New Models: Opportunities for CHWs
Member of Primary Care TeamImprove Patient EngagementImprove Community EngagementImprove Population HealthAddress Social Determinants of Health (REL/SES)Advocate for Change:
Within health care organizationsIn communitiesWith government agenciesWith policymakers (MN Legislature, county boards,
etc.)
43
![Page 44: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/44.jpg)
QUESTIONS
44
![Page 45: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/45.jpg)
3. Health Equity Policy Developments
45
![Page 46: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/46.jpg)
Health EquityIncreased attention to health disparities MDH Report – February 2014:
“Health in All Sectors”Statewide Leadership – Structural RacismStrengthen Community RelationshipsRedesign Grant ProgramsStrengthen Data on Disparities
46
![Page 47: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/47.jpg)
Health Care Reforms: Impact on Health Disparities
MA expansion improves health coverage & benefitsPatient relationship and engagement is key to
provider care delivery and payment model reformsPayment reforms will allow resources to be shifted
from hospital/specialty to primary care/outpatient and to services to address social determinants of health
Coordination with social services & other county services will help address social determinants of health
Quality Measurement to track and report quality for communities of color and other populations with health disparities.
47
![Page 48: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/48.jpg)
2014 Legislative Session Highlights – Health EquityHealth Equity grants Funding for InterpretersGrants for Health Care for Uninsured
PatientsEmergency Medical Assistance ProgramStatewide Quality Reporting and
Measurement System (SQRMS) Changes
48
![Page 49: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/49.jpg)
Data: SQRMS, REL & SESData on Health Disparities:Statewide quality measures can’t be broken down by race, ethnicity and language (REL) or socio-economic status (SES)Lack of data on quality of care for communities of color and REL/SES groups is a barrier to identifying and eliminating health disparitiesRisk Adjustment: Providers are accountable for quality of careCurrent measures do not adjust for REL/SES, causing harm to providers who serve REL/SES patients
49
![Page 50: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/50.jpg)
Data: SQRMS, REL & SES2014 Legislation
SQRMS: plan to measure quality of care based on REL/SES and adjust provider quality scores based on these factors
MDH: Develop an implementation plan and budget to
present to the 2015 LegislatureConsult with stakeholders in developing the plan,
including communities of color and other groups with health disparities
Use culturally appropriate methods of engaging communities in the process of developing the plan
50
![Page 51: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/51.jpg)
Health Equity Issues to Watch SIM Accountable Communities for Health
Statewide community engagement Summer 2014RFP expected Sept. 1, 2014
2015 Legislative SessionState budget yearLegislative proposals from the Health Equity
ReportImplementation plan for REL/SES quality
measurement and risk adjustment Emergency Medical Assistance program changesCoverage and access to care for the remaining
uninsured
51
![Page 52: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/52.jpg)
What’s the Role of CHWs in Reducing Health Disparities? CHWs come from the communities they serve,
building trusting and vital relationships. These crucial relationships significantly lower health disparities because CHWs: Facilitate access to services and coordination of care;Improve the quality and cultural agility of care; Improve chronic disease management; andIncrease the health knowledge and self sufficiency of
underserved populationsIncrease patient and community engagement
52
![Page 53: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/53.jpg)
QUESTIONS
53
![Page 54: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/54.jpg)
4. Opportunities for Community Health Workers
under Reform Trends
54
![Page 55: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/55.jpg)
The Value of CHWs in Health CareEducating and engaging patients in managing
their health and coordinating the services they need
Bringing cultural knowledge and skills to primary care teams
Bringing cultural knowledge and skills to health care organizations, public health agencies and other public and private organizations
Strengthening engagement of communities of color with health care organizations and the health care system
Identifying and addressing health disparities
55
![Page 56: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/56.jpg)
Opportunities for CHWs: Individually MNsure (navigation, etc.) Care delivery and payment models (PC,
HCH, ACO/IHP, ACH) Public health and population health
improvement Patient and community engagement Health equity/eliminating disparities Community leadership Public policy advocacy
56
![Page 57: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/57.jpg)
Opportunities for CHWs: Working Together
Business Case for CHWs. Make the case that CHWs provide a financial return-on-investment and add value in other areas
CHW Workforce Models. Promote roles of CHWs with health systems, clinics, public health agencies, and IHPs
Community Engagement. Assist communities served by CHWs in being engaged in policy advocacy and holding health care organizations and the health system accountable
Policy Advocacy: Advocate together on public policies, reforms, programs, and funding on behalf of populations served by CHWs
57
![Page 58: Policy Road Map for Health Equity: Outlook and Opportunities](https://reader033.vdocument.in/reader033/viewer/2022051316/56815b1b550346895dc8cad9/html5/thumbnails/58.jpg)
QUESTIONS
58