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Engaging Communities of Color to Promote Health Equity: Five Lessons from New York-Based Health Care Organizations

The Center for Health Care Strategies, with support from the New York Health Foundation and in partnership with ATW Health Solutions, assisted seven New York-based health care organizations in piloting strategies for engaging patients of color to advance health equity. This CHCS brief outlines considerations for health care organizations in developing patient engagement strategies, including: (1) building trust with patient partners over time; (2) tailoring outreach strategies; (3) using-trauma-informed approaches; (4) engaging patients in data use; and (5) approaching engagement with humility.

Short URL: http://www.advancingstates.org/node/74289

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CMS Releases 2022 Access Request for Information Report and Supporting Documents

On December 20, 2022 CMS released a report summarizing the public comments it received in response to the 2022 Request for Information (RFI): Access to Coverage and Care in Medicaid & CHIP. CMS framed the RFI questions across three dimensions of health care access: (1) enrolling in coverage, (2) maintaining coverage, and (3) accessing services and supports. This report includes counts of comments, types of respondents, summaries of common themes across objectives, and cross-cutting findings.

Short URL: http://www.advancingstates.org/node/74288

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Study finds addressing food insecurity reduced healthcare utilization by 30%

In 2017, Reading Hospital was awarded a $4.5 million grant from CMS to implement the Accountable Health Communities (AHC) model and assess whether addressing the health-related social needs of local Medicare and Medicaid beneficiaries would impact their healthcare costs and inpatient and outpatient healthcare utilization. This case study looks at 747 patients with resolved food needs and finds that among this cohort, emergency department visits dropped 32%, hospital admissions decreased 32%, readmissions were reduced by 30%, and hospital costs went down 31%. Among the patients who were also on the Diabetes Registry, A1C rates decreased by an average of 2.2%

Short URL: http://www.advancingstates.org/node/74281

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2022 Edition of MACStats: Medicaid and CHIP Data Book

The Medicaid and CHIP Payment and Access Commission (MACPAC) released the 2022 edition of the MACStats: Medicaid and CHIP Data Book, with updated data on national and state Medicaid and State Children’s Health Insurance Program (CHIP) enrollment, spending, benefits, and beneficiaries’ health, service use, and access to care. As of July 2022, almost 90 million people were enrolled in Medicaid or CHIP.

Short URL: http://www.advancingstates.org/node/74280

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Setting the Table: Promoting Healthy and Affordable Food for Older Americans

On December 15, 2022 U.S. Senate Special Committe on Aging held a hearing to recognize the impact of federal nutrition assistance programs in reducing hunger among older adults. At the hearing, the Committee released a bipartisan report, entitled “Recognizing 50 Years of the Nation’s First Nutrition Program for Older Adults.” The report celebrates the role of the Older Americans Act Nutrition Program in reducing hunger, promoting health, and enhancing the wellbeing and quality of life of older adults. The Committee also released state-by-state fact sheets highlighting the impact of the Older Americans Act Nutrition Program in each Committee member’s state.

Short URL: http://www.advancingstates.org/node/74279

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Eldercare Locator Data Report

Since the early ninties the Eldercare Locator has connected older adults, caregivers, families, and professionals to local services that support healthy aging at home. This new infographic illustrates the top needs of individuals who contacted the Eldercare Locator in 2021. Requests were mostly related to transportation (22%), in-home services (12%) and housing (11%).

Short URL: http://www.advancingstates.org/node/74278

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NAMD Highlights the Importance of Partnerships in the Medicaid Community

This blog post from Mathematica discusses the importance of partnerships between states and the federal government through highlighting topics covered at NAMD's 2022 conference. Sessions touched on innovations developed as part of recently approved 1115 demonstrations in Arizona, Massachusetts, Oregon, and Arkansas which focused on the ways states are providing whole-person care by addressing the health-related social needs of members. The post also explores Mathematica's work with CMS and states to build stronger measurement and evaluation infrastructure for a broad range of demonstrations, including those addressing substance use disorder, mental illness, and health-related social needs.

Short URL: http://www.advancingstates.org/node/74271

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Most Nursing Home Staff and Residents Are Not Up to Date with Their COVID-19 Vaccines

This new KFF brief finds that only 45% of all nursing facility residents and 22% of staff are up to date with their COVID-19 vaccinations. That is a sharp drop from the 87 percent of nursing facility residents and staff who completed their primary vaccination series. The U.S. Centers for Disease Control and Prevention (CDC) currently defines having up to date vaccines as “having received a bivalent booster or having received a final shot of the original vaccines less than two months ago.” The share of residents who are up to date ranged from 73 percent in South Dakota to 24 percent in Arizona. Among nursing home staff, the share ranged from 48 percent in California to 10 percent in Alabama.

Short URL: http://www.advancingstates.org/node/74269

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Most Nursing Home Staff and Residents Are Not Up to Date with Their COVID-19 Vaccines

This new KFF brief finds that only 45% of all nursing facility residents and 22% of staff are up to date with their COVID-19 vaccinations. That is a sharp drop from the 87 percent of nursing facility residents and staff who completed their primary vaccination series. The U.S. Centers for Disease Control and Prevention (CDC) currently defines having up to date vaccines as “having received a bivalent booster or having received a final shot of the original vaccines less than two months ago.” The share of residents who are up to date ranged from 73 percent in South Dakota to 24 percent in Arizona. Among nursing home staff, the share ranged from 48 percent in California to 10 percent in Alabama.

Short URL: http://www.advancingstates.org/node/74268

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CMS Proposes Rule to Expand Access to Health Information and Improve the Prior Authorization Process

As part of the Biden-Harris Administration’s ongoing commitment to increasing health data exchange and investing in interoperability, CMS issued a proposed rule that would improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services. CMS proposes to modernize the health care system by requiring certain payers to implement an electronic prior authorization process, shorten the time frames for certain payers to respond to prior authorization requests, and establish policies to make the prior authorization process more efficient and transparent.

Short URL: http://www.advancingstates.org/node/74265

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