How States Can Use Measurement as a Foundation for Tackling Health Disparities in Medicaid Managed Care
Kate Reinhalter Bazinsky and Michael Bailit, Bailit Health
Many people in America face segregation, social exclusion, encounters with prejudice, and unequal access and treatment by the health care system, all of which can impact health. Medicaid programs serve a disproportionate share of populations that are negatively impacted by health disparities. This new State Health and Value Strategies (SHVS) issue brief provides examples from a handful of states that have begun the work of identifying, evaluating, and reducing health disparities within their Medicaid managed care programs. Additionally, it offers an approach for other states interested in measuring disparities in health care quality in Medicaid managed care as a step towards achieving health equity, such that all Medicaid managed care enrollees have a fair and just opportunity to be as healthy as possible.
As a reminder, SHVS is convening a series of webinarson advancing health equity through Medicaid managed care organizations. This five-part series will assist states interested in addressing disparities in health outcomes among Medicaid managed care beneficiaries as a step towards achieving health equity. On Thursday, June 20 at 2:00 p.m. ET SHVS (register here, required) will host the first webinar in the series, Advancing Health Equity in Medicaid Managed Care: An Introduction for States. This webinar will review the foundational principles of health equity, barriers to its realization, and the impact of health disparities.
On April 26, the U.S. Department of Health and Human Services Office for Civil Rights released a final rule interpreting section 1557 of the Affordable Care Act , which prohibits discrimination on the basis of race, color, national origin, sex, age, or disability. This expert perspective reviews the implications of the rule for state policymakers.
As states continue to explore new ways to reach Medicaid and Marketplace members with targeted messages and updates about their coverage, many have incorporated SMS text messaging into their communications plans. This expert perspective highlights strategies and recommendations for states that are considering or currently implementing text messaging in their outreach plans to support states as they look to optimize text messaging in their Medicaid and Marketplace communications and outreach efforts.
The healthcare affordability crisis has resulted in an estimated 100 million Americans, or 41% of adults, holding some form of medical debt. The consequences of medical debt are profound, from financial strain to worsened health outcomes, and there are significant health equity implications. States are moving to eradicate medical debt for low income residents and protect residents from the financial consequences. This expert perspective highlights state action to cancel medical debt and/or prohibit medical debt reporting.