Bipartisan Policy Center Releases Report “Bridging Health and Health Care”

0


WASHINGTON, October 9 (TNSRep) – The Biparty Policy Center published a 36-page report in September 2021 titled “Bridging the gap between health and health care”.

* * *

Contents

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

* * *

Abstract

In 2017, the Biparty Policy Center launched the Future of Healthcare Initiative with a bipartisan group of leading national policy experts to create a consensus approach to improving our country’s healthcare system, increasing access to a affordable insurance coverage, improve the quality of patient care, reduce costs for all Americans, and create competition throughout the health care industry. In response to the COVID-19 pandemic, leaders have turned their attention to improving the country’s public health infrastructure and preparing for the next pandemic.

In January 2021, leaders of the future of healthcare released a report outlining the high-priority immediate actions that the administration and Congress should take in the fight against COVID-19, and in June 2021, leaders issued recommendations to ensure our public health system is well prepared to respond to and mitigate the consequences of a future pandemic. These recommendations provide a strategic approach to strengthening our country’s public health infrastructure. However, to fully respond to our vulnerability to health threats, we must address the underlying challenge of poor human health. we population.

Compared to many other industrialized countries, United States invests much less in disease prevention and social services. Rather, health spending is geared towards providing health services to treat chronic diseases. As noted in previous reports, early investments in programs and services that address the social determinants of health could help prevent the onset of chronic disease. Some of our leaders would like federal health insurance programs, such as Medicare and Medicaid, to play a role in preventing the onset of chronic diseases resulting from social needs. At the same time, a number of our leaders are concerned about using medicare programs to fill funding gaps for social services. This report seeks to strike a balance between these two competing interests.

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.

RECOMMENDATIONS

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 Health and social services (HHS) with the power to extend Medicaid coverage to non-medical services that meet social needs and community interventions. For people participating in value-based payment models, including fully captured managed care, responsible care organizations, or nursing homes:

* 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 Community Prevention Services Working Group (CPSTF) Recommended interventions that have “strong” or “sufficient” evidence, are cost-effective and are appropriate to be covered by Medicaid (eg, no room and board). Examples include:

* Various cancer screening interventions that engage community health workers

* Community-wide physical activity campaigns

* HHS should provide funding for ongoing studies through the Congress Budget Office (CBO) and Government Accountability Office (GAO) on the cost and benefits of these services.

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 Children’s health insurance program (CHIP) providers must be licensed in the state where a patient receives services, when the provider is licensed in another state; and issuing FBI guidelines to states drafting interstate licensing legislation.

* Use technology to enable greater integration of clinical and community services.

* Improve Medicaid reimbursement for primary, prenatal and postpartum care. Congress should increase state Federal Medical Assistance (FMAP) percentages to 90% for five years for primary, prenatal, and postpartum services for states that reimburse for such services at certain minimum rates; states must reimburse primary care services at Medicare rates and reimburse prenatal / postpartum services at average commercial rates to benefit from enhanced FMAP. Congress should also ask GAO to study and report on the impact of increased reimbursement rates on access to care.

* Appropriate funding for the National Commission for Health Personnel conduct a comprehensive assessment of the current workforce landscape, develop policy recommendations to ensure federal education and training programs meet critical needs, and provide oversight of federal workforce programs.

* * *

Conclusion

The COVID-19 pandemic has highlighted and exacerbated the vulnerabilities created by the poor health of United States, including the impacts of high rates of chronic disease, nutritional insecurity and poor access to health care. To improve our collective resilience to emerging health risks, policymakers must take steps to invest in a prevention-focused approach to health care, address the social determinants of health upstream, and improve both coverage and health. access to primary care and preventive services.

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.

* * *

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

TARGETED NEWS SERVICE (founded 2004) provides non-partisan newsletters and information on “edited journalism” for news organizations, public policy groups and individuals; as well as “bundled” public policy information, including press releases, reports and speeches. For more information contact MYRON STRIKES, editor, [email protected], Springfield, Virginia; 703 / 304-1897; https://targetednews.com


Leave A Reply

Your email address will not be published.