Sheeba Ibidunni

For those of you who have been following our work on Pathways to Population Health Equity, one beautiful outcome of applying that framework in Rhode Island has been the recognition of the full scope of the #CHW role in building bridges between clinical and community environments to create upstream investments in population and community health. Drawn from communities closest to the challenges, these natural civic connectors, who skilled at relationships and navigation but can also be trustworthy and effective leaders of clinical-community coalitions and partnerships to address upstream community conditions like housing availability and tenant rights and root causes like racial inequities in the environment. In this week's issue of NEJM Group, we share how this led to a roadmapping process among 140 CHWs and allies about how to sustain the role with braided and blended funding and describe the process. The four roadmaps developed to sustain the role of CHWs were about: 1) Growing the role, agency, and leadership of community health workers 2) Workforce development for CHWs and their supervisors 3) Payment and sustainability 4) People and place-based coordinating infrastructure The full roadmaps can be found here: https://lnkd.in/eND39AEU A year after implementation, there remained strong engagement and support for the implementation within the state and advancement of key functions to support CHWs. More remains to be done to align funding for long-term sustainability. https://lnkd.in/eXvNvsEx Special appreciation to co-authors and co-leaders in this process, Swanette Salazar Geraldine McPhee, Deborah Garneau and many others including James Day, Linda Cabral, Kristen Rego, Michelle Mooney, Michelle Abuna, Jonathan Scaccia and our whole team at Well-being and Equity (WE) in the World who supported this roadmapping process and contributed to building CHW leadership along the way, including Hilda Ortiz, Sarai Arpero at Latino Health Access and Kevin Barnett at CACHE #equity #healthequity #populationhealth #civicmuscle #vitalconditions #P2PHE Durrell Fox

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For those of you who have been following our work on Pathways to Population Health Equity, one beautiful outcome of applying that framework in Rhode Island has been the recognition of the full scope of the #CHW role in building bridges between clinical and community environments to create upstream investments in population and community health. Drawn from communities closest to the challenges, these natural civic connectors, who skilled at relationships and navigation but can also be trustworthy and effective leaders of clinical-community coalitions and partnerships to address upstream community conditions like housing availability and tenant rights and root causes like racial inequities in the environment. In this week's issue of NEJM Group, we share how this led to a roadmapping process among 140 CHWs and allies about how to sustain the role with braided and blended funding and describe the process. The four roadmaps developed to sustain the role of CHWs were about: 1) Growing the role, agency, and leadership of community health workers 2) Workforce development for CHWs and their supervisors 3) Payment and sustainability 4) People and place-based coordinating infrastructure The full roadmaps can be found here: https://lnkd.in/eND39AEU A year after implementation, there remained strong engagement and support for the implementation within the state and advancement of key functions to support CHWs. More remains to be done to align funding for long-term sustainability. https://lnkd.in/eXvNvsEx Special appreciation to co-authors and co-leaders in this process, Swanette Salazar Geraldine McPhee, Deborah Garneau and many others including James Day, Linda Cabral, Kristen Rego, Michelle Mooney, Michelle Abuna, Jonathan Scaccia and our whole team at Well-being and Equity (WE) in the World who supported this roadmapping process and contributed to building CHW leadership along the way, including Hilda Ortiz, Sarai Arpero at Latino Health Access and Kevin Barnett at CACHE #equity #healthequity #populationhealth #civicmuscle #vitalconditions #P2PHE Durrell Fox

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New York Governor @Kathy Hochul’s efforts to reform Medicaid-financed home care—New York City’s largest job-creating industry—face significant challenges. Hochul proposes consolidating home care payroll and HR functions under a single contractor to save $500 million annually. This has sparked opposition from fiscal intermediaries, advocacy groups, and unions, fearing disruptions to the system that serves 280,000 workers and clients. Critics cite past reform failures, such as the 2011 Medicaid Redesign Team’s unrealistic cost-saving measures, which led to higher state spending and profits for Managed Long-Term Care (MLTC) plans, now totaling $2.4 billion in four years. Further complicating matters is the Consumer-Directed Personal Assistance Program (CDPAP), expanded in 2015 to allow Medicaid recipients to hire friends or family as caregivers. CDPAP’s rapid growth strained oversight and funding while marginalizing agency-based care. Hochul’s contractor choice, Public Partnerships | PPL (PPL), has a problematic record and untested capacity to manage such a vast system. True reform may require prioritizing client needs, worker protections, and removing unnecessary administrative layers, not just reducing spending. Our team helps home health entities sustain operations by analyzing policy impacts, streamlining revenue cycle processes, and identifying automation opportunities to mitigate administrative burdens. We provide strategic guidance on compliance, workforce management, and navigating reimbursement challenges, ensuring entities can adapt effectively while prioritizing quality care for patients and stability for workers. Cliniqon is committed to delivering Guaranteed Quality, Ensured Compliance, and Unparalleled Outcomes in Home Health and Hospice agencies. #HomeHealthServices #HospiceCare #FrontEndServices #BackOfficeSolutions #HealthcareManagement #RevenueCycleManagement #HealthcareCompliance #PatientSupport #CareCoordination #MedicalBilling #ClaimsManagement #PatientEngagement #HealthcareOutsourcing #MedicalCoding #ProviderSupport #CliniqonCare #HealthcareSolutions #PatientCareExcellence #HomeHealthRCM #HospiceBilling

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Join us tomorrow for an encore presentation on "Managing Opioid Use Disorder in CT Nursing Homes - Toolkit Implementation." This insightful panel, facilitated by The Connecticut Women's Consortium, brings together experts from Harvest Healthcare, the Connecticut Department of Public Health, and key members of our Healthcentric Advisors team. We'll share innovative strategies to help your staff compassionately support residents with opioid use disorder. 𝐑𝐄𝐆𝐈𝐒𝐓𝐄𝐑: https://lnkd.in/e4GY77R7

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Care management isn’t a single event—it’s the continuous "what’s next" and "how can I support" for individuals in need. True success lies in creating lasting relationships, and that requires having streamlined workflows that empower care teams to focus on their strengths and foster genuine, compassionate connections. Effective care management is about sustainable, relationship-centered care that drives better outcomes.

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Care managers make a huge impact on our members. Ernie McNutt, Assistant VP of Care Management, discusses the pivotal role of Care Coordination Organizations (CCOs), like ours, support individuals with intellectual and developmental disabilities. Ernie dives into how we offer holistic care, the evolution of care management in New York, and the importance of personalized, strengths-based support. Listen to the IDD Matters Podcast with Craig Escude, MD, FAAFP, FAADM to learn how these efforts are transforming lives and fostering a more inclusive society! #HealthMatters #IDD #EmpoweringIDD #CareDesignNY #NYIDD #NewYorkIDD #CareCoordination #CareManagement

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At SameSky Health and GroundGame Health, we've learned that healthcare is not always equitable because of unaddressed health-related social needs that serve as barriers to achieving positive health outcomes, and we work tirelessly with our health plan and community-based partners to remove these barriers for members. But addressing SDOH needs can take many forms, and the city of Boston is taking some important steps to through its new #healthequity initiative. The groundbreaking $10 million initiative, supported by the Atrius Health Equity Foundation in partnership with the Boston Community Health Collaborative, aims to improve life expectancy and financial resilience in neighborhoods with poor outcomes across three leading causes of premature mortality. Organizations will collaborate to help at-risk residents meet basic needs, access financial support, and navigate complex healthcare and social support systems. This holistic approach addresses critical social determinants of health, including healthcare access, nutritious food, safe housing, and educational opportunities. We all have a vested interest in creating healthier, more resilient communities where everyone can lead healthy lives. We are eager to see the impact this transformative impact will bring! Read more At the Boston Herald: https://sames.ky/46aNTH9 #sdoh #hrsn

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WE (emphasis on WE!) HAVE the power to stop "decline by design" Robert Bowman in its "power over" tracks. Remove #highqualityprimarycare from the structures and processes of the US healthcare system. https://lnkd.in/gFZ-EEJX Empower neighbors and neighborhoods to create #interprofessionalprimarycare teams for their neighborhood. Use the boundaries of elementary schools to define the neighborhood. Empower neighbors to hire #interprofessionalprimarycare teams, find neighborhood office space, buy an inexpensive EHR, and then do the work to crowdsource #monthlydues for access to the high-quality practice for all neighbors (monthly dues defined by the neighborhood). FREE #highqualityprimarycare and FREE #highqualityprimarycare for all neighbors! #chambersofprimarycare like #chambersofcommerce can be created to support these efforts in towns and cities. Such #neighborhoodprimarycare would be cost-effective for organizations to provide to their employees. Neighborhood primary care accessible to all neighbors is possible! These neighborly actions are DELIGHTFULLY SUBVERSIVE to the current healthcare system. Such neighborly actions are simply outside of the current US healthcare systems power to "power over" or control. 💞 Primary Care for All Americans

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Do Interstate agreements support the mobility of social work? Will this additonal licensing pathway facilitate multistate practice among member states and reduce or increase barriers to license portability? What does one do when faced with different reporting obligations than their home state? Do we see this change moving north to Canada where regulation is governed in each Province? Thoughts! Ontario Association of Social Workers (OASW) #labormobility, #licensing #socialworkers #nasw #casw

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Joseph Conte, PhD, Executive Director, Staten Island Performing Provider System Contributed an article "Deploying Evidence Making Solutions for Health Equity" “As a mobile solution, the platform can link back to our extensive database of health care utilization and connect individuals to primary care to manage their chronic disease,” says Joseph Conte. The article will also be featured in the forthcoming special print edition of Healthcare Analytics 2024. Read More: https://lnkd.in/gYmyiE-A #HealthEquity #PopulationHealth #InnovationInHealthcare #CommunityHealth #SocialDeterminantsOfHealth #TechInHealthcare #HealthcareTransformation #PatientCenteredCare #SubstanceUseDisorder #HealthcareInnovation

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Looking forward to this discussion and to share the work underway in New Bedford to address equitable access!

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🎆 📣 Exciting Partnership Announcement 📣 🎆 We're excited to announce that Blooming Health has partnered with Hudson Valley Care Coalition to enhance access to social care for its for Medicaid and Medicare populations under the NY Health Equity Reform 1115 Waiver! 🔰 This collaboration will enhance engagement efforts between HVCC and the 700,000 members they serve, promoting health education, screening, service navigation, and conducting satisfaction surveys. 📣 Amie Parikh, Chief Executive Officer of HVCC. "With Blooming Health powering our technology platform, we can ensure effective engagement with our community members to inform them of services available, help them navigate the services, and to gather their important feedback. We appreciate that Blooming Health is able to provide automated engagement across voice, text, and email communications in over 80+ different languages.” Together, we're committed to revolutionizing how social care services are delivered, advancing health equity, and improving capacity for social service providers. Learn more and read the press release here 👉 https://lnkd.in/ecPfhQAV #HealthEquity #CommunityCare #SocialCare #Medicare #Medicaid #1115Waiver #PublicHealth

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New Massachusetts legislation seeks to address primary care shortages in the state’s underserved and rural communities by opening the door to internationally trained physicians. Learn more about the requirements: https://lnkd.in/gSxtwktu Authored by Husch Blackwell's Crystal Bloom, Rebecca Rodman, and Taylor White. #Massachusetts #HealthcareLaw

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PUBLIC HEALTH SOLUTIONS RECEIVES $152 MILLION TO EXPAND ITS WHOLEYOUNYC NETWORK, WHICH WILL PROVIDE FACILITATED AND EASIER ACCESS TO ESSENTIAL COMMUNITY RESOURCES FOR NEW YORK CITY NEIGHBORHOODS The grant will ensure the delivery of social services to improve health outcomes for Medicaid members in Brooklyn, Queens, and Manhattan New York, NY (August 7, 2024) Governor Kathy Hochul today announced a $152 million grant to Public Health Solutions (PHS) from the New York State Department of Health (NYSDOH) under the Medicaid 1115 Health Equity Reform Initiative (Social Care Networks). This investment will enable the expansion of WholeYouNYC (WYNYC), our community-based resource network, providing Medicaid members in Brooklyn, Queens, and Manhattan with access to essential community resources. “Every year, hundreds of thousands of New Yorkers avoid healthcare due to concerns about money, housing, food, transportation, and other unmet needs,” said Zachariah Hennessey, Executive Vice President & Chief Strategy Officer at PHS. “Through New York State’s Health Equity Reform initiative, we have a once in a generation opportunity to change this trajectory and ensure Medicaid beneficiaries receive the resources they need on time to achieve optimal health for themselves and their families.” The award underscores the need for coordinated, technology-enabled access to New York City’s social safety net and represents a crucial step in building the public health infrastructure of the future. Public Health Solutions recognizes that equitable access is fundamental to achieving better healthcare outcomes and improving overall quality of life. Since 2018, WholeYouNYC has made a remarkable impact through its extensive network of 500+ community-based partners, which offer more than 800 services. Placing people at the center of care, the network has served over 16,000 participants, made 24,000 referrals, and saved upwards of $2.8 million in healthcare costs through its food and nutrition resources alone. By reducing gaps and preventing health crises before they occur, WholeYouNYC is transforming healthcare for hundreds of thousands of New Yorkers. Over the next three years, this funding will enable WholeYouNYC to further connect New Yorkers with essential resources such as food, transportation, employment support, health insurance, housing, and healthcare services. Our aim is to build regional infrastructure and community-based partnerships that will best serve Medicaid members and other underserved communities. Securing additional funding from government entities, donors, corporations, and philanthropists will be essential to ensuring the network’s accessibility and long-term sustainability for all New Yorkers.

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#ICYMI See how your community stacks up against others in New York when it comes to primary care access and utilization, health outcomes, and socio-demographic status. Check out the Care Across Communities dashboard today! https://lnkd.in/eeKqAuES

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