Resources produced by our team include hundreds of papers, peer-reviewed articles, manuals, and other products on a range of topics related to health and social needs services and supports.

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Statement of the Problem: Health Reform, Value-Based Purchasing, Alternative Payment Strategies, and Children and Youth with Special Health Care Needs

Authors: Bachman, S., Comeau, M., Long, T.

Date: 2017

Project: The Catalyst Center

Keywords: CYSHCN, Financing

With the increasing emphasis on value-based purchasing (VBP), policymakers must critically analyze the potential impact for children and youth with special health care needs (CYSHCN), because this group of children, by definition, uses more health care services than other children and inevitably incurs higher per person costs. We provide a history and definition of VBP and insurance design, noting its origin in employer-sponsored health insurance, and discuss various financing and payment strategies that may be pursued under a VBP framework. The relevance of these approaches for CYSHCN is discussed, and recommendations for next steps are provided. There is considerable work to be done if VBP strategies are to be applied to CYSHCN. Issues include the low prevalence of specific special health care need conditions, how to factor in a life course perspective, in which investments in children’s health pay off over a long period of time, the marginal savings that may or may not accrue, the increased risk of family financial hardship, and the potential to exacerbate existing inequities across race, class, ethnicity, functional status, and other social determinants of health.

This article was part of a May 2017 supplement in Pediatrics, produced by the Catalyst Center and the American Academy of Pediatrics (AAP). The Catalyst Center staff along with colleagues from the AAP presented a webinar with key highlights from each of the Pediatrics supplement papers.  

Webinar: Using Community Health Workers to Improve Linkage and Retention in HIV Care

Authors: Bachman, S., Wilkinson, G., Rajabiun, S., Davich, J.

Date: 2017

Project: Improving Access to HIV Care Using CHWs

Keywords: Health Equity, HIV/AIDS

During this interactive webinar course, the first in a series and presented on July 27, 2017, participants learn why community health workers (CHWs) could be key to reducing barriers to care faced by underserved and hard-to-reach populations, specifically in HIV systems. The course defines the role of CHWs, how they are integrated into health care teams, and how they function as an integral part of the health care system. Experts share real-world illustrative examples of CHWs working in HIV care. Participants learn about building—and expanding—internal capacity for CHWs.
View the video and access webinar slides below.

Webinar: Breaking the Link Between Special Health Care Needs and Financial Hardship

Authors:

Date: 2017

Project: The Catalyst Center

Keywords: CYSHCN, Financial Hardship

In this webinar, which took place on April 26, 2017, Catalyst Center staff introduced the updated edition of Breaking the Link Between Special Health Care Needs and Financial Hardship. They presented about the impact that health care financing and coverage gaps have on the lives of real families and highlighted innovative policy solutions that can improve the system of care for children and youth with special health care needs (CYSHCN). 

Slides from this webinar are available below.

PubMed article: Role of Patient Navigators in Building a Medical Home for Multiply Diagnosed HIV-Positive Homeless Populations

Authors: Sarango, M., de Groot, A., Hirschi, M., Umeh, C.A., Rajabiun, S.

Date: 2017

Project: Med-HEART

Keywords: Behavioral health, HIV/AIDS, Homelessness, Medical Home

Through interviews and focus groups, clinic and program staff from nine organizations nationwide provided insights about the role of patient navigators in building a medical home for people living with HIV who are homeless/unstably housed and co-diagnosed with substance use and/or mental health disorders. Results of this qualitative research are presented in this peer-reviewed article which will be published in the Journal of Public Health Management Practice and is available online ahead of print publication. Researchers identified ten key responsibilities of patient navigators as part of the HIV care team that seeks to engage this population in care and treatment. The article concludes that patient navigators may be a key component in creating an effective patient-centered medical home for this population.

Public Insurance Programs and Children with Special Health Care Needs: A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program (CHIP)

Authors: Rosenthal, J., Henderson, M., Dolatshahi, J., Hess, C., Tobias, C., Bachman, S., Comeau, M., Dworetzky, B, Wilson, K.

Date: 2017

Project: The Catalyst Center

Keywords: CYSHCN, Medicaid/CHIP

This tutorial gives a broad overview of Medicaid and CHIP, the many different populations these programs serve, the changes they are undergoing under health reform, and some detail to help readers think about opportunities to improve access to coverage for CSHCN through communication and collaboration with Medicaid and CHIP staff. The tutorial starts with an overview of how definitions of CSHCN may vary by agency or program, followed by eight major topic areas and then recommendations for steps Title V programs can take to build successful partnerships with public insurance programs.