Fall 2020 Newsletter

Introduction

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

Shannah’s Insights and Reflections

This newsletter covers September, October and part of November 2020. It proves that if you wait long enough there is new hope and a new potential framework for addressing growing U.S. challenges. COVID19 and our needed racial reckoning have been magnifiers for health disparities and inequities that have always existed. They are driven by inadequate living conditions for a majority of our country that have gotten worse due to COVID19 and the economic downturn.

We currently have an administration that gave up on addressing the pandemic and the drivers of disparities. The Biden Harris administration (B-H) is already taking on the critical challenges we face for everyone in the US regardless of race, ethnicity or political affiliation.

My greatest fear is that a divided Congress and country will make it hard to move ahead quickly, but I anticipate that B-H will take a page from the current administration and use executive orders to leverage the full breadth of the executive branch’s administrative powers.

My overall takeaway from this extended period of time is Community, Community, Community, whatever we do it has to empower and invest at the community level in a way that acknowledges, eliminates and makes amends for discriminant and disparate services, treatment and opportunity. It should also strive for improvements and solutions that pool investments at the community level, rather than those driven by individual health systems or plans.

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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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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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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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