Posts for Health System Transformation

Excitement, Caution and Unanswered Questions: A Look at CMS’s New Primary Care Models

At the Center for Consumer Engagement in Health Innovation, we’ve long been champions of the important role primary care plays in improving health outcomes, lowering health care costs and achieving health equity.

Eldercare Voices: Embracing Population Health to Improve Care for Older Adults

The emergence of value-based models of care has brought increased attention to improving coordination and quality while reducing unnecessary procedures and increasing attention to quality of life and patient-centered, individualized care.

Rubber, Meet Road: Consumer Engagement in Oregon’s Coordinated Care Organization Program

At a meeting of Community Advisory Council members engaged with Orgeon's Coordinated Care Programs (CCOs),many lessons on how the potential of these bodies can be realized through effective implementation.

Eldercare Voices: When Person-Centered Services Stop at My Mother's Nursing Home Door

Lori Simon-Rusinowitz, MPH, Ph.D. What can a daughter do when her mother's reality – a nursing home with no person-centered care in sight – presents a stark contrast to her own work devoted to making person-centered services available to all?...

Director's Corner: What’s Next for Medicare-Medicaid Enrollees?

Last Wednesday, the Center was honored to host “The Dual Imperative: What’s Next for Medicare-Medicaid Enrollees” in Washington, D.C. to discuss improving care for the 11 million people enrolled in both Medicare and Medicaid. This population includes older adults, people...

Innovation Continues, For Better or Worse, Despite Congressional Gridlock

“Public Expects Gridlock” is the headline to a summary of survey findings about what voters expect out of Washington post-midterm elections. The Democrats control the House, Republicans control the Senate and not much of anything will get done inside the...

Consumer Advocacy Around a “Do-Over” for Medicaid Managed Care in Alabama

After a new governor in Alabama halted planning for regional care organizations (RCOs) as the model for Medicaid managed care in the state, advocates with Arise Citizens’ Policy Project are involved in state efforts to come up with a better model.

What the Massachusetts One Care Implementation Council Teaches Us About Consumer Engagement

In 2013, Massachusetts developed the One Care Implementation Council so consumers could have an active role in the implementation of Massachusetts’ Financial Alignment Initiative, known as “One Care.” I recently had the pleasure of sitting down with consumers, advocates and...

Director's Corner: We’ve Got Your Back on Your 53rd Birthday, Medicare & Medicaid!

Medicare and Medicaid are turning 53 at the end of this month. Their importance to the health of the nation is hard to overstate: together, they provide coverage to one in three people in the United States, including many with...

Director's Corner: The Importance of Housing to Health, And What We’re Doing About It

The video features the work of Center partner the Pennsylvania Health Action Network (PHAN) in building a Housing as Health coalition in Pennsylvania along with other advocacy groups and housing organizations like Project HOME in Philadelphia.

Consumer Engagement: A Call for Tools that Measure Organizational and Policy Level Engagement

Everyone is talking about consumer engagement in health care. It is the term of art used to describe anything from reaching people through mobile apps, involving stakeholders in advisory groups to inform new program development, and even – in some...

Director's Corner: Engage at Every Age!

 Older Americans Month celebrates the difference that older adults make in our communities and this year’s theme is “Engage at Every Age.” Working with older adults to improve the quality of care and quality of life is central to the...

Lost in Translation: Providing Person-Centered Care to Linguistic Minorities

As a consumer sitting in the doctor’s office, understanding medical information has never been more challenging or complex, and providing person-centered care begins with adequately communicating with the patient. Consumers need to understand their health condition, their prescription medication, alternative...

Director's Corner: What I’m Reading During National Minority Health Month

April is National Minority Health Month, a fitting occasion to reflect on what is needed to improve care and achieve equitable outcomes in the United States. Sometimes on the front lines, when taking care of an individual patient, it can...

Faces and Stories from Oregon’s Health System Transformation

Oregon is widely perceived as a national leader in health care reform and health system transformation, but the reality for most Oregonians is that health care remains expensive, poorly coordinated and a source of anxiety for far too many. Oregon’s...

“It Feels Like You Have to Make a Decision in the Dark:” Early Lessons from Pennsylvania’s Move to Managed Care

Since Pennsylvania first proposed changing the way it delivers Medicaid-funded long-term services to older adults and people with physical disabilities, we here at the Pennsylvania Health Access Network (PHAN) and our partners have been working hard to make sure the...

Community Health Workers Building Trust and Families’ Health in the New York City Region

Community Health Workers (CHWs) are trusted members of their communities who share similar backgrounds with the people they serve. In partnership with health care consumers, clinicians and other providers, CHWs play a pivotal role in reducing health disparities and helping...

Transparency in Health Care: Clearly Not a Cure-All for What Ails the Health Care System

Last Friday, Community Catalyst submitted comments in response to a request for information from a group of Senators looking to improve transparency in health care. After a year of defending the Affordable Care Act and Medicaid from attacks that would...

A Look Back and Ahead at Innovative Health Care Programs in Minnesota

Throughout 2017, TakeAction Minnesota members organized to defend Medicaid by collecting and sharing stories, mobilizing Minnesotans to vociferously oppose bills that would harm Medicaid, and by training individuals on the threats to the state’s Medicaid innovations like Integrated Health Partnerships...

Director's Corner: What’s Next for Health System Improvement - Four New Initiatives to Watch

Director, Center for Consumer Engagement in Health Innovation It’s been a busy few months for health care advocacy, given the numerous health care-related provisions in the budget deal to keep the government open and the release of the president’s proposed...

Medicaid Work Requirements Will Have Devastating Impacts for People with Complex Health Needs

For people with disabilities or complex medical conditions, accessing health care services is an absolutely necessary and often times incredibly stressful endeavor. Just getting the care needed to live a healthy and productive life can involve managing multiple appointments with...

Director's Corner: What I’m Learning as I’m Teaching

Over the past ten years, I’ve had the opportunity to teach in a health policy course for medical students. And over the course of that decade, I’ve enjoyed working with dozens of future doctors as they study the rapid changes...

Tapadh Leat!* For Global Lessons on Consumer and Community Engagement

Now that winter is fully upon us (see, e.g., last week’s “bomb cyclone” along the East Coast of the U.S.), I find myself reflecting back on my past few months of work at the Center. Without a doubt, one of...

Director's Corner: On Giving Care and Giving Thanks

In my clinical work, I get to meet and work with an incredibly devoted set of family caregivers. These are parents caring for their special needs child, often while also caring for an aging parent. Or a spouse, sibling or...

Director's Corner: Our Year in Numbers

As we approach the end of 2017, I am filled with gratitude for our colleagues, our fellow advocates, our partners and our champions. 2017 has not been an easy year, but you inspired, challenged and accompanied us in our shared...

“Don’t Just Make Them Hear You, Make Them Listen!”

On Oct. 12, I was honored to join advocates and consumers from Pennsylvania, Rhode Island and Michigan for a day in Washington, D.C. focused on person-centered care for Medicare-Medicaid beneficiaries.   Our day was centered around the Alliance for Health...

Aging in America: A Crisis in Caring We’re Not Talking About

Every day, 10,000 people in this country turn 65 – that’s more than 400 every hour! What does this mean for health and health care? That’s the conversation that Politico Live convened recently in Washington D.C., bringing together national thought...

New Video: Embracing Culturally Competent Care for LGBTQ Older Adults

Tomorrow, October 11, is the 29th annual National Coming Out Day (NCOD) which celebrates people of lesbian, gay, bisexual, transgender and queer (LGBTQ) identities feeling empowered to make their true selves known – to their families, friends and coworkers and...

Director's Corner: Research Roundup - Patient Engagement Pitfalls and Possibilities

I’m pleased to share two recent articles by our team that were published in the latest issue of The Journal of Ambulatory Care Management. The first article, “Perspectives on How to Engage Consumers in Health System Transformation,” suggests that consumers...

What Consumer Advocates Need to Know About the New MACRA Quality Payment Program Rule

It would have been easy to miss it with the frenzied activity around the Senate health care bills these past few weeks, but on June 20, the Centers for Medicare and Medicaid Services (CMS) released a proposed regulation laying out...

New Center Program: Connect Respected Health Care Experts with Consumer Advocates to Improve Care

An essential aspect of the Center for Consumer Engagement in Health Innovation’s mission to improve care for vulnerable and historically underserved communities is to support consumer health leaders as they advocate for health system change. To that end, this week...

Director's Corner: The National Academy of Medicine Points the Way to Improved Care for High-Needs Patients

  Last week, I had the honor of speaking at the National Academy of Medicine in Washington, D.C., at the release of the Academy’s new special report, “Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health.” This...

Capping Medicaid: Lost Home Care Jobs Would Increase the Burden on Family Caregivers

Both the House-passed version of ACA repeal legislation, the American Health Care Act (AHCA), and the Senate’s version currently under deliberation – the Better Care Reconciliation Act (BCRA) – include a particularly debilitating change: a per capita cap system of...

GOP Health Care Bill is a Step Backwards on the Path to Better Care

Take a moment to imagine that someone you love, maybe an aging parent or grandparent, was just released from the hospital after an illness. What kind of care would you want them to receive? Would you want them to be...

#Aging Out Loud…From Generation to Generation

During this Older Americans Month, we want to pay tribute to a leader with whom many Health Policy Hub readers may not be familiar: Nelson Cruikshank.

“We Don’t Just Take It, We Take Charge!”– Celebrating Older Americans Month

It’s May, and that means it’s Older Americans Month. This year’s theme is Age Out Loud, chosen “…to give aging a new voice – one that reflects what today’s older adults have to say.” Older Americans are a group that...

Director's Corner: What’s the Latest Evidence on Patient Engagement by Primary Care Practices?

Here at the Center for Consumer Engagement in Health Innovation, we hold the core belief that the voices of consumers are essential for making our health care system better: easier to navigate, more user-friendly and more effective at addressing the...

Director's Corner: What's Next for Person-Centered Care?

“Now this is not the end. It is not even the beginning of the end. But it is, perhaps, the end of the beginning.” – Winston Churchill, 1942 On the heels of the 7th anniversary of the signing of the...

Building a Bridge to Empowerment Across a Language Barrier

I recently had the privilege of joining partner advocates at the Rhode Island Organizing Project (RIOP) at a “house meeting” in the Providence community. RIOP staff have long used house meetings as a powerful organizing tool, gathering consumers in comfortable...

Trump HHS Indicates Openness to Using 1115 Waivers to Undermine Consumer Protections in Medicaid

On top of the uncertainty surrounding Medicaid expansion and Medicaid funding stemming from GOP Affordable Care Act (ACA) repeal efforts, HHS Secretary Tom Price and CMS Chief Seema Verma’s recent letter to governors adds another layer of change and uneasiness....

The Takeaway: Why is the GOP health care plan so terrible?

Reviews are in on the House GOP health care plan, which has been enthusiastically embraced by President Trump, and they are pretty terrible.

Director's Corner: Bringing Health System Leaders Together to #ProtectInnovation

On Monday, March 6, our Center team hosted a briefing at the National Press Club in Washington, D.C. that brought together the voices of leaders of innovative health systems. Titled “Too Much to Lose: Protecting Patients, Protecting Progress in Health...

Director's Corner: When Words Collide - Same Words, Very Different Meanings for Consumer-Centric Lexicon

For example, think about consumer or patient engagement, something we promote and implement in our work here at the Center. Our vision for consumer engagement regards patients as active partners in their care

Dually Eligible Beneficiaries Placed in “Double Jeopardy” By Threats to Medicaid and Medicare

Beyond the unfolding rush to repeal the ACA, proposals in favor among Republican congressional leaders and the nominee for HHS Secretary, Rep. Tom Price, would permanently rework the structure and financing of Medicaid...

Gathering Light: Year-End Reflections

This final 2016 edition of Health Innovation Highlights comes to you on the Winter Solstice. For those of us in the Northern Hemisphere, today we experience the inflection point from the days getting shorter, to the gift of a few...

Gifts of Gold and Coal in Two End-of-Year Congressional Votes

The holidays are often a tough time for people struggling with drug and alcohol addiction or mental illness. But Congress has provided an early present that may ease some of these struggles in years to come: Half a billion dollars...

ACA Repeal Without Replacement Further Endangers Struggling Rural Communities

In 2015, Belhaven, North Carolina Mayor Adam O’Neal and supporters from 11 other states set out on foot for their second 300-plus mile trek from his rural town to our nation’s capital to draw attention to an important issue: rural communities...

Webinar on Aging in Place for Older Adults Shares Promising Models

On December 1, Community Catalyst hosted the third webinar in its series on Health and Housing – “Aging in Place: Housing and Health Integration for Low-Income and Chronically Ill Seniors.” Two resources are now available – both a recording of...

2016 Election Fallout: The Looming Threat to People with Disabilities

This is the first blog in a series to highlight the dangers of the repealing the Affordable Care Act. Multiple times a week, Community Catalyst will highlight a different constituency to draw attention to the benefits the ACA has afforded them.

The Takeaway: How Do the Political Scientists Explain This One?

One curious feature of our current moment in health policy is how divergent the impending course of action pledged by Republicans in Congress and the incoming Trump administration is from the preferences of major health care industry stakeholders. Dominant models...

NEMT: Stalled in the Breakdown Lane

Let me tell you about a consumer I’ll call Marie. Marie lives in California and has End-Stage Renal Disease. She needs to get to a clinic three times a week for dialysis. Marie doesn’t have a car or any family...

Asking the Right Questions to Foster Happy, Healthy and Independent Aging

In late October, we attended the Senior Agenda Coalition of Rhode Island’s Ninth Annual Senior Conference in Warwick. The theme was “Aging in Community: What’s Next?” We met older adults in their 60s, 70s, 80s and 90s who were engaged...

Pioneering Person-Centered Models Look to Serve LGBT Older Adults

On October 22, the Center for Consumer Engagement in Health Innovation hosted a webinar in collaboration with Services and Advocacy for GLBT Elders (SAGE) that shared information about the unique needs and concerns of Lesbian, Gay, Bi-sexual and Transgender (LGBT)...

Four Burning Questions and Tentative Answers About CMS’ Quality Payment Program

It’s here: the final rule for CMS’ Quality Payment Program (QPP/MACRA) has been released! You dug through 900+ pages, added new acronyms to your vocabulary, submitted comments, and, at the end of a long campaign, have another 2400+ pages to...

Consumers: The Indispensable North Star for Medicaid ACOs

Last week, the Center for Consumer Engagement in Health Innovation at Community Catalyst published a report, Consumer Engagement in Medicaid Accountable Care Organizations: A Review of Practices in Six States.

An Opening for Consumers to Get a Seat at the Table on Health System Transformation

Over the last year, I have had the opportunity to serve on behalf of Community Catalyst on the Health Care Transformation Task Force - a consortium of patients, payers, providers and purchasers...

Non-Emergency Medical Transportation: Pathway to Better Health Outcomes

Even with health care coverage, Medicaid beneficiaries still find themselves facing numerous barriers to accessing the care they need and achieving better health outcomes. One barrier that continues to cause serious access problems is transportation.

Massachusetts Advocates Roll Up Their Sleeves to Improve Medicaid Reform

Massachusetts, always a leader in health reform, is on the move again. Last month, the state released a draft plan to shift its Medicaid program, MassHealth, from a fee-for-service model to one that relies on Accountable Care Organizations (ACOs). Under...

Engaged Consumers: The Key to Better Value in the Empire State

Last week, I had the privilege of attending the United Hospital Fund’s 2016 Medicaid Conference in New York City. This year’s conference focused on ongoing efforts in New York’s Medicaid program to develop delivery and payment systems that reward value...

Valuing Health: Building the Field for Consumer-Designed Health Systems

Minnesota is one among a handful of states leading the nation in public and private exploration of health system transformation and consumer advocates have the opportunity to embed consumer engagement and priorities in the “Minnesota Model.”

Purposeful. Effective. Equitable.

I recently attended Health Care for All’s (HCFA) 4th Annual Patient and Family Advisory Council (PFAC) Conference in Massachusetts, which was incredibly informative and inspiring. HCFA was a major force behind the passage of the 2008 law that required all...

Preparing for the Launch of Community HealthChoices in the Three River City

When Pennsylvania launches its Community HealthChoices (CHC) program for older adults and individuals with disabilities over the next few years, it will join a growing number of states shifting to managed care plans to provide long-term services and supports (MLTSS)...

Empowering Consumers in Patient-Centered Medical Homes

(Last year, the Robert Wood Johnson Foundation launched a joint initiative with Community Catalyst called the Value Advocacy Project (VAP). The project is supporting consumer health advocacy organizations in six states in their non-lobbying advocacy efforts to pursue local and...

A Nurse in EVERY School

While school nurses have long been recognized for their vital role in supporting children’s educational success through better health, there is increasing recognition that school nurses are integral to reforming our health care delivery system. School nurses are the eyes...

Washington State Advocates Inserting Consumer Voice Into Accountable Communities of Health

(Last year, the Robert Wood Johnson Foundation launched a joint initiative with Community Catalyst called the Value Advocacy Project (VAP). The project is supporting consumer health advocacy organizations in six states in their non-lobbying advocacy efforts to pursue local and...

Health Reform 2.0: Emerging Efforts on Value-Based Health Care in California

Last year, the Robert Wood Johnson Foundation launched a joint initiative with Community Catalyst called the Value Advocacy Project (VAP). The project is supporting consumer health advocacy organizations in six states in their non-lobbying advocacy efforts to pursue local and...

Progress Made, More Needed in Dual Eligible Demonstration Projects

Recently, CMS’ Medicare-Medicaid Coordination Office (MMCO) released a new report on the progress of the Financial Alignment Initiative. Through this initiative, thirteen states are running demonstration projects focused on improving care for vulnerable Americans enrolled in both Medicare and Medicaid,...

Patient-Centered Care? We Have a Long Way to Go

On April 4, my 73-year-old mother had back surgery. It was a difficult and lengthy procedure and, unfortunately, she experienced a series of post-operative complications. She remained in the hospital for 12 days, and for several of those days things...

Springtime and HST: When It Rains It Pours

It is Washington in April and the last year of the Obama administration and so – not unexpectedly – it has been a major week for health care policy proposals and rule changes; over 2,400 pages worth of proposals and...

Closing the Coverage Gap Helps Knock Down Stubborn Health Disparities

The fourth in our National Minority Health Month blog series. For National Minority Health month, we are celebrating the 32 states including the District of Columbia that have chosen to close the coverage gap. Not only have these states extended...

At the Intersection of Income Inequality and Geography: A Case for a Broad Approach to Health

For several decades, data has shown a trend toward the concentration of poverty and increasing income inequality in major cities across America. Take New York City for example, a metropolitan area often cited to demonstrate some of the highest gaps...

Under the MACRA-Scope: Why Should Consumers Care?

In the next few weeks, we expect the Centers for Medicare and Medicaid Services (CMS) to release a proposed rule detailing their proposal for how physicians will be paid under the Medicare program.

The Takeaway: Efforts To Close The Coverage Gap Inch Forward With Brighter Days Likely Coming

Efforts To Close The Coverage Gap Inch Forward With Brighter Days Likely Coming Despite the health, economic and fiscal benefits of closing the coverage gap for people who fall between state Medicaid eligibility levels and eligibility for subsidized Exchange coverage,...

Community Catalyst Looks Inward and Outward in Observance of Minority Health Month

April is National Minority Health Month, organized under the auspices of the Office of Minority Health within the U.S. Department of Health and Human Services. This is the first in a four-week series of blogs related to issues of health equity.

Behavioral/Physical Health Integration: Twin Cities Flashback

This week’s release by the Medicaid and CHIP Payment and Access Commission (MACPAC) of its Report to Congress highlighted the critical importance of Medicaid in the lives of so many low-income Americans. While the report focuses on Medicaid payments to...

It’s Time for a Copernican Revolution in Health Care

This is the last in a series of blogs discussing the policy priorities of the Center for Consumer Engagement in Health Innovation. Previous blogs have discussed health equity, population health, consumer protection, payment models and person-centered care models. At the...

Why Strengthening America’s Social Structures Is Essential for Health

This post in our Health System Transformation series is an update of the Jan. 26, 2016 blog post titled, “How America’s Social Structures Affect Our Health.”  This updated post adds some key policy prescriptions that are central to the vision...

Consumer Protections: More than Appeals and Grievances

This is the next post in an inaugural blog series outlining the policy priorities of the Center for Consumer Engagement in Health Innovation, taking a dive into the areas that must be addressed to achieve better care, better value and better health.

Can I Get an Amen? Successful Collaborations between Hospitals and Faith/Community-Based Organizations

There is increasing acknowledgement nationwide that the social and economic conditions in which people live play an enormous role in health. Clinicians and hospitals cannot make their patients healthier by solely focusing on what happens inside the clinic walls. Rather,...

The Takeaway - Flint: How Did This Happen And What Does It Mean?

Flint: How Did This Happen And What Does It Mean? In my opinion, the biggest health care story of the week is the continued fallout from the lead contamination of the water supply in Flint, Michigan. The Flint crisis underscores...

What Does it Take to Create a Person-Centered Culture of Care?

As we continue the conversation on what Community Catalyst believes are the key areas advocates should focus in health system transformation, up next on our list is: creating a person-centered culture of care. The health system can be a challenge for anyone...

The Takeaway 2016 New Year’s Edition

Why Is This News? 2016 opened with yet another vote by the Republican controlled Congress to repeal the ACA coupled with more muttering about a replace agenda — we really really mean it this time. Maybe by the time we are...

Let’s Make the “C” in ACO Stand for Consumers and Community!

Consumer advocates across the country are increasingly developing expertise in payment reform and new models for health care delivery.

Children in Foster Care Need More Holistic Health Care

Over the last few years, states have witnessed widespread failings within agencies charged with overseeing the well-being of children in foster care.

Advancing Health Equity in a New Era of Health System Transformation

In a recent blog we shared reflections on our health equity journey and identified health system transformation (HST) as the next frontier of health care advocacy.

Advancing Health Equity in a New Era of Health System Transformation

In a recent blog we shared reflections on our health equity journey and identified health system transformation (HST) as the next frontier of health care advocacy. Promoting health equity is an organizational priority at Community Catalyst and one of the fundamental pillars of our...

Payment Reform: Creating a $trong Foundation for Health System Transformation

In a blog two weeks ago, we sketched out a multi-part agenda addressing what Community Catalyst believes are the key areas on which consumer advocates should focus in the midst of the current changes in the organization of health services....

What Should We Hope To Achieve Through Health System Transformation?

This is the first in a blog series outlining Community Catalyst’s policy priorities for Health System Transformation.

The Takeaway: Has PhRMA PHinally Gone too PHar?

Well, really it’s not just PhRMA, it’s the generic manufacturers, as well. Normally there is a special room deep underground below the capitol where ideas to control excessive prescription drug prices go to die. The drug industry casts a long...

Rhode Island’s Dual Eligible Demonstration Project: Learning and Adjusting

In July, the Ocean State became the thirteenth state to sign a Memorandum of Understanding with CMS to move forward with integrating services and financing for its Medicare-Medicaid population (dual eligible).

Cross-Post: Will Oregon’s Health Reforms Deliver Results for Consumers? A New Study Raises Some Tough Questions.

According to a new study, Oregon’s efforts to transform health care are not yet delivering on their potential to improve the consumer experience.

Notes from the Frontline - Organizing to Make a Change

Since partnering with the Voices for Better Health project in 2014, I have spoken to nearly 500 older adults and people with disabilities.

Rush to Judgment?

Under the Affordable Care Act, the Centers for Medicare & Medicaid Services (CMS) is assisting states in integrating care for people who are eligible for both Medicare and Medicaid.

The Takeaway: Michael Miller's Congressional Forecast, The Weather Looks Stormy

Michael Miller's The Takeaway, featured in On Message on July 24, 2015.

Measurement That Matters: A Starting Point to Get to “Better, Smarter, Healthier”

In January, we asked “How do we get to better, smarter, healthier?” One of the steps we identified was developing better people-centered health quality measures. The IOM recently released a report that has the potential to be a game changer.
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