Tuesday, August 12, 2014: There is strong evidence that team-based primary care has significant benefits for patients and providers. Some care teams now include non-clinicians, such as medical assistants, health coaches, care coordinators, or community health workers. This requires both a financing source to support non-clincians’ services and training to integrate them with clinical care teams. This webinar provides context on the evidence supporting expanded roles for non-clinicians as members of care teams, and highlights case studies from two states, Maine and South Carolina, that have successfully leveraged Medicaid financing for non-clinician services and harnessed training opportunities to support expanded roles within redesigned primary care teams.
Author Archive for: catherine-hess
About Catherine Hess
Catherine Hess rejoined the NASHP staff as a part time Policy Fellow in May, 2016 to work on the State Innovation Model (SIM) evaluation. She previously was part of the NASHP team from 2005 to 2015, starting as a Senior Program Director and eventually serving as the Managing Director for Coverage and Access. She worked with teams of staff to develop and implement initiatives focused on children’s coverage, eligibility and enrollment, access to care and the safety net, dental care, maternal and child health, population health, and health care reform among other areas.
Before joining NASHP, Ms. Hess served for 14 years as the first Executive Director for the Association of Maternal and Child Health Programs (AMCHP), which represents state public health officials. Prior to developing the AMCHP national organization, Ms. Hess served as Policy Director for the Massachusetts Department of Public Health’s Division of Family Health Services, where among other accomplishments, she was key in creating Healthy Start, a cutting edge state funded maternity care insurance program. She is the recipient of numerous awards, and has participated in many national committees and task forces. She holds a bachelor’s degree from the University of Rochester, and a master’s in social work from Boston University.
Entries by Catherine Hess
The Children’s Health Insurance Program (CHIP) and how it fits into the new coverage landscape established by the Affordable Care Act (ACA) are receiving increased attention. This report, developed jointly with the Georgetown University Center for Children and Families and with support from the David and Lucile Packard Foundation, examines benefits and cost-sharing in 42 […]
The Affordable Care Act includes pediatric dental services as one of ten essential health benefits that state and federal health insurance marketplaces must offer. However, dental is treated differently from other essential health benefits, creating unique implementation challenges. With support from the DentaQuest Foundation, NASHP held an expert meeting with state and federal marketplace officials, […]
Several of the Affordable Care Act’s (ACA) key provisions are aimed specifically at children, but much of the law focuses on covering the larger uninsured population of adults without dependent children. As states focus on implementing these ACA coverage programs and other systemic changes by January 1, 2014, it will be important that children’s coverage […]
Dowload presentation here (PDF) Health insurance exchanges or marketplaces need to be prepared to serve children’s needs as well as adults. The Children’s Health Insurance Program (CHIP), an already established and tested program, offers features that can help states meet ACA exchange requirements while establishing good coverage for children. With support from the David and Lucile […]
As a result of large-scale changes in insurance coverage under the Affordable Care Act (ACA), financing streams for safety net providers will shift. The law provides significant resources for further development of some safety net providers while reducing funding streams for others. The vulnerable populations served by the safety net—poor and underserved communities—may not fundamentally […]
One challenge states face in implementing the Affordable Care Act is smoothing transitions for individuals who may churn between Medicaid and health insurance exchanges. Many people who will become eligible for coverage already interact with safety net providers. This report explores potential roles safety net providers could play in bridging gaps in coverage and care […]
Health care reform legislation has spurred efforts to develop integrated health care delivery systems that seek to coordinate the continuum of health services. These systems may be of particular benefit to patients who face barriers to accessing care or have multiple health conditions. But it remains to be seen how safety-net providers, including community health […]
With passage of the Affordable Care Act, the stakes for children’s coverage perhaps have never been higher. Children potentially have much to gain in coverage for themselves and for their parents. However, they also have much to lose in shifting attention, and in unintended consequences of reforms focused on adults. To examine the options for […]
This tutorial on the basics of Medicaid and CHIP is a collaboration of NASHP and the Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs (CSHCN). The tutorial gives a broad overview of Medicaid and CHIP, the many different populations these programs serve, the changes they are undergoing as […]