Bipartisan Policy Center Releases Report “Bridging Health and Health Care”
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5 … SUMMARY AND RECOMMENDATIONS
8 … PRESENTATION
11 … RECOMMENDATIONS AND RATIONALE FOR THE POLICY
11 … Section I: Improving access and sustainable financing of non-medical and preventive services
17 … Section II: Building the Capacity of the Health Workforce to Support Integration
25 … CONCLUSION
26 … END NOTES
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In 2017, the
Compared to many other industrialized countries,
Recognizing the need to better bridge the gap between the often siled worlds of health and healthcare, these policies are designed to better integrate, coordinate and ultimately improve the performance and outcomes of both. Our recommendations focus on two key areas: 1) improving access, coverage and financing of non-medical and preventive services; and 2) the health workforce, with a focus on improving access to care through improved supply and distribution of key practitioners who are needed to improve health status in the underserved communities.
Specific recommended actions include:
Improve access and sustainable financing of non-medical and preventive services
A. Coverage of Non-Medical Services in Medicaid
* Provide the secretariat of
* The secretary could authorize coverage of non-medical services when there is evidence that the benefits improve or maintain health outcomes for a defined population.
* The secretary could authorize
* Various cancer screening interventions that engage community health workers
* Community-wide physical activity campaigns
* HHS should provide funding for ongoing studies through the
B. Expanding Access to Preventive Services in Medicaid
* Require coverage of preventive clinical services without cost sharing in Medicaid for the population without expansion. Excerpt from BPC’s 2020 Progress Report on Comprehensive Primary Care in Medicaid
* Request the Secretary of HHS to provide CMS advice to states on defining and reimbursing community health workers within their Medicaid programs, when evidence has shown better results. Excerpt from BPC’s 2020 Progress Report on Comprehensive Primary Care in Medicaid
Increase the capacity of the health workforce to support integration
* Waive the federal requirement for Medicare, Medicaid and
* Use technology to enable greater integration of clinical and community services.
* Improve Medicaid reimbursement for primary, prenatal and postpartum care.
* Appropriate funding for the
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The COVID-19 pandemic has highlighted and exacerbated the vulnerabilities created by the poor health of
BPC’s recommendations represent a bipartisan step towards a rapprochement between public health and health care, starting with the expansion of Medicaid coverage of services that improve health and actions to strengthen the workforce and empower providers to address the social determinants of health. These proposals aim to increase access to services that prevent the onset of chronic diseases, slow the progression of the disease and, therefore, lead to better health outcomes and lower health care costs.
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The full report can be viewed at https://bipartisanpolicy.org/download/?file=/wp-content/uploads/2021/09/BPC-Bridging-Health-and-Health-Care-Report-Sept-2021.pdf
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