February 2020 Newsletter

Early Signs of Spring!

Introduction

Welcome to the February 2020 newsletter. You can find past newsletters with additional background materials, and different stories and initiatives in my LinkedIn articles and on my website. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: the politics of health inequality; varying roles of plans and hospitals in communities, services and investments; New Mexico and Rhode Island thinking more holistically; Colorado and California trying new levers to address social needs; Healthy Alliance IPA convener model for CBO collaboration; several community investments – Molina, OneCity, Inspira Health and the AMA; research and metrics continue to grow and be debated; and some past and future SDOH events.

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January 2020 Newsletter

Apparently Punxsutawney Phil says winter will be shorter this year!

Introduction

Welcome to my first 2020 newsletter. You can find past newsletters with additional background materials, and different stories and initiatives in my LinkedIn articles and on my website. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Community Care Corps; Lyft’s grocery access program; strengthening Human Services; Medicaid block grants, the public charge rule; the proposed Social Determinants Accelerator Act; DC Senior Housing Summit; ACP position on SDOH; Life experiences and income inequality; RISE SDOH benchmark survey; the impacts of closing Auto plants; Knowality; and recent eHI & WEDI and NASEM events.

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2019 Year-end Newsletter

Wishing You Peace, Health and Happiness

Introduction

Welcome to my 2019 year-end newsletter and some aspirations for 2020. You can find past newsletters with additional background materials, and different stories and initiatives in my LinkedIn articles and on my website. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Forbes 8 solutions for improved living conditions; West Virginia’s sustained community improvement; Humana’s no senior eats alone; ChristianaCare’s community investment; states finding the right balance between social and health investments, Don Berwick’s thoughts on change from within the healthcare system; and CHIME’s concerns about the no-blocking rule.

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November 2019 Newsletter

Introduction

Welcome to my November 2019 newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Bernard Tyson; Detroit medical students caring for the homeless; Oversight for the $1.5B ANC Healthcare trust in NC; alternatives to provider centric community initiatives such as land trusts, collaborative networks and public health initiatives; the role of CHCs in disasters and prevention; CMS changes in Medicaid flexibility and delay in consumer access regulations; hospital system investments in communities; Aetna/CVS’ loneliness program; US life expectancy downturn; Neighborhood Atlas and Healthify’s latest investment round.

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October 2019 Newsletter

Hopefully more treats than tricks!

Introduction

Welcome to my October 2019 newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Elijah Cummings; Michael Jordan’s investment in NC clinics; 50th anniversary of a White House Food, Nutrition and Health Conference; A Medicare executive order and open enrollment; More Medicaid programs embracing Lyft; NQF’s call to action; Foundational principals for healthcare initiatives in SDoH; Kaiser’s California food initiative; WellCare analysis of SDoH referrals; physician disagreement about focusing on social injustice; Technologies from, Urban institute; Sales Force, Aunt Bertha in partnership with Innovaccer and Socially Determined; eHI’s webinar about proposed ICD-10 Z code implications for improved living conditions; and, Patchwise Labs the Dispatch.

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Summer 2019 Volume 2

Summer’s end and Fall begins

Introduction

Welcome to Volume 2 of my Summer 2019 newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: caregiving realities; the growing role of home care in improved living conditions; ALICE (Asset Limited, Income Constrained, Employed) in Frederick Maryland, an example of a non-healthcare sustained investment in improved communities; USDA and USCIS policies threatening living conditions, providers opposing the USCIS rule while the healthcare industry continues to invest in needed community support; CAN Community health’s LGBT youth mentorship program; Intermountain Health, CVS Aetna and Cedar Sinai continue to expand their efforts; Many studies – one saying few hospitals and physician practices screen for top 5 social needs, another saying the US spending on social services is comparable to other countries, parent focus groups raising concerns about certain pediatric screening questions and AmeriHealth Caritas showing substantial impact on hospital utilization; A NASEM consensus report recommending 5 goals for integrating social care into healthcare; AHRQ announcing 12 semifinalists in an SDOH visualization challenge; and a new BU Community Wellbeing Index.

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Summer 2019 Volume 1

My favorite place all year round

Introduction

Welcome to Volume 1 of my Summer 2019 newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: Realizing a personal bias; many community transportation initiatives; an introduction to some of the non-health driven community investments; a new health literacy definition; Medicaid directors view on where funding to address social determinants of health should go; Geisinger Food Farmacy; CareSource Job Connect; AHIP’s Project Link; Modern Healthcare articles on the SDoH symposium and Insurers and loneliness; Updating the definitions of ADLs and IADLs; Potential Medicare savings of $4B; United Hospital’s Framework for building Clinical Community partnerships; AAFP wants more consistency and clarity around SDoH terminology; Kaiser’s survey indicates patients want providers to help with social needs; Pilot study on the benefits of home meal delivery programs; Lifting the funding ban on a unique patient identifier; Guiding principles for ethical use of SDoH data; and three data partner initiatives.

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May 2019 Newsletter

Introduction

Welcome to the May 2019 monthly newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: My recent blog on why asking for help shouldn’t be so hard; Fannie Mae’s innovation awards for improved housing; several stories about the substantial impacts of poor living conditions on healthcare in hospitals, FQHCs and primary care and the breadth of needed changes; More initiatives from Cerner and Kaiser and Blues plans investing in Solera Networks; a Health Affairs’ article on the need for further research; and many surveys from different vantage points.

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April 2019 Newsletter

April showers bring…

Introduction

Welcome to the April 2019 monthly newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about: a young man with a cello as a life line from poverty; Humana’s Bold Goal progress; Medicare Advantage increased flexibility to invest in improved living conditions; Medicare expanded coverage for telehealth; suggested changes in hospital community benefits; Texas Health Resources’ investments, and Medicaid trends in investments, designed to address living condition improvements; Proposed ICD-10 Z codes to improve payment and tracking of Social Determinants of Health (SDOH); addressing drivers of community-wide problems verses addressing the needs of sicker individuals; almost 50% of cancer deaths tied to modifiable behavior that are impacted by living conditions; and the  challenges facing the “middle market” i.e., older adults with middle level income.  Also checkout Equality Health’s Webinar about culturally-based innovations in Arizona.

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March 2019 Newsletter

Spring in my front yard

Announcement Module

Introduction

Welcome to the March 2019 monthly newsletter. You can find past newsletters in my LinkedIn articles and on my website with some additional background materials, different stories and initiatives that might be of interest. Join me in improving and coordinating initiatives that advance health, health equity and community and healthcare redesign.

This month you can read about:

Living on $3 a day; The Healthiest U.S. Communities, Legal support at a public health clinic and Anthem Indiana Medicaid; The NSTC report on emerging technologies for an aging population; Oregon Medicaid’s approach to contracting for improvements in living conditions; the AZ Medicaid Innovation Challenge featuring many lead organizations in member engagement and technology and services support for improved living conditions; Molina Healthcare’s 90-day free Amazon prime accounts; PQA’s Conceptual framework on medication access; Several technology based partnerships — Kaiser and Community Solutions, BCBSI and Solera Health and Signify’s acquisition of TAVHealth; Research efforts from Tufts and Pew Charitable trust; and Femtech investments in unique health needs and living conditions of women.

Shannah’s Insights

Momentum of the health industries investment in living condition improvements continues, particularly in Medicaid and across large insurer and delivery systems. Are we using the right metrics? If we measure solely on health impacts, we may be missing an opportunity for true change. If Oregon is successful, could we ultimately invest more in community support that in healthcare?  Who will AZ choose as their partners for member engagement and improved living conditions. When looking at outcomes should we be looking across safety net programs and at quality of life?

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