Tag Archives: #SDOH

H.R. 7038 The CHILD Act – Incenting Communities to Improve the Health of Their Medicaid Beneficiaries

This past week on PopHealth Week Gregg and I discussed the Annual Medicare Wellness Visit and how it came to be.  I have always dabbled in policy and was fortunate enough to participate in the creation of that piece of legislation.

More recently,  a small group including Reyn Archer, MD, the former Commissioner of Health for the State of Texas and current Chief of Staff to Congressman Jeff Fortenberry, Doug Goldstein and I have been exploring ideas on community health improvement. One of the key gaps we identified was that if a person or community works to improve their health, the financial benefit accrues to the payer or providers. At the same time, sustainable financing has been a fundamental problem with many of the community health improvement initiatives, such as Blue Zones, The Way to Wellville, the Clinton Health Matters Initiative, Humana’s Bold Goal initiative, which typically have the funds to get started, but after a few years have no source of revenue to continue. We sought to solve these two issues.

While I have been working on a concept I call Havens of Health, a Medicare /Medicaid  Health Plan owned by its members;  Reyn had come up with the concept of creating Community Shared Savings Accounts as the vehicle to distribute/share funds and provide incentives.

For the past three years we have been working on legislation to do just that, and I am excited to announce that we now have a Bill, H.R. 7038 the “Community Health Improvement, Leadership, and Development Act of 2018” or the “CHILD” Act.   The purpose of the bill is:

To give communities the tools to improve their own health outcomes through community-relevant health information and new health supporting incentives and programs funded without further appropriations.

The idea is simple:

  • it tasks HHS/CMS with putting together data sets of relevant Medicaid epidemiological and claims health information,
  • provides grants to states to carry out localized Community Health Improvement programs which includes the creation of dashboards for the community
  • The Community puts together a program to target one or more of these conditions and
  • if the program reduces the rates of illness in the  community’s Medicaid beneficiaries and/or lowers costs, 70% of the savings would go back to the community.
  • These savings would be placed in the Community Savings Account to be overseen by a local board, and “used for promoting the health and wellness of residents of the community.”

This bill has bipartisan support, being co-sponsored by Congressman Jeff Fortenberry (R) and Congresswoman Eddie Bernice Johnson (D), and establishes an incentive for communities to work to improve the health of their residents while also creating a sustainable source of funding for communities to begin to work together on both the clinical and social determinants of health, as some have been doing for a while.

If you’d like more information on H.R. 7038 please contact me.

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PopHealth Week Interview with Dr. Anthony Slonim of Renown Health

This week’s episode of PopHealth Week had a broad ranging and fascinating interview with Anthony Slonim, MD the President and CEO of Renown Health. We cover their community efforts, ACO, the Healthy Nevada Genetic Testing initiative which already has 35,000 people enrolled, value based care and other topics.

delivery models focused on improving health within the community. He is board-certified in Internal Medicine, Pediatrics, Internal Medicine Critical Care and Pediatric Critical Care and is an academic leader with faculty appointments as Clinical Professor in the Departments of Internal Medicine and Pediatrics at the University of Nevada, Reno School of Medicine. He also holds a master’s degree and a doctorate in Administrative Medicine and Health Policy from George Washington University Center for Health Policy Studies and has more than 100 publications and 15 textbooks to his name.

Since joining Renown Health in July 2014, Dr. Slonim has reoriented northern Nevada’s largest locally governed, not-for-profit healthcare network. He launched a five-year strategic plan that is focused on the community’s overall health while embracing the national triple aim initiatives of improving quality care and patient satisfaction — all while reducing costs. Dr. Slonim also ushered in a new era of national collaboration to establish a medical training campus at Renown and expanded the region’s quaternary care services in collaboration with Stanford Medicine.”

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Listen to Anthony Slonim, MD on PopHealth Week

Dr. Slonim is an innovator and proven leader in healthcare at both the regional and downloadnational levels. During his notable career, Dr. Slonim has developed a profile as an expert in patient safety, accountable care, healthcare quality and innovative care

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Where is the Elon Musk of Healthcare?

In April of this year I presented at the University of Mississippi Center , School of FG spacex,-moonshotsanddiabetesPopulation Health. A description of that presentation is on LinkedIn:

SpaceX, Moonshots and Diabetes in Mississippi

 

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PopHealth Week Now Available on iTunes

You can now download all of the episodes of PopHealth Week on iTunes. Future episodes will be added as they are recorded.  Please have a listen, subscribe and rate the show.

Here is the link:

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PopHealth Week on iTunes

 

PopHealth Week is a production of Health Innovation Media.

 

 

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Webinar on SDoH and Geospatial Data

I recently the pleasure of participating in a Webinar with Joe Warbington of Qlik moderated by Mike Perkowski on

Visualizing population health: How geospatial and social determinant data informs preventive care

 

You can watch it here..

 

 

 

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