Transcript Advancing Racial/Ethnic Health Equity through the

Advancing Racial/Ethnic Health Equity
Through the Affordable Care Act:
Understanding the Progress of Health Plans
Presenters:
Dennis Andrulis, PhD, MPH
Senior Research Scientist, Texas Health Institute
Associate Professor, Univ. of Texas School of Public Health
&
Nadia Siddiqui, MPH
Senior Health Policy Analyst, Texas Health Institute
Presentation to the National Health Plan Collaborative
November 8, 2012
Objective
 To monitor and assess implementation progress of ACA’s
provisions specific to advancing racial/ethnic equity in health and
health care.
 We are tracking 60+ provisions specific to or with relevance for
racial/ethnic health disparities across the following topics:
(1)
(2)
(3)
(4)
(5)
Health insurance & exchanges;
Health care safety net;
Workforce support and diversity;
Data, research and quality; and
Public health and community prevention programs.
 Funded by Kaiser Permanente, W. K. Kellogg Foundation and The
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California Endowment
History
 We have been monitoring and analyzing health care
reform from a health equity lens since shortly after
the inauguration of President Obama in 2008
 Select references to our work:
 Major Report, entitled Patient Protection and Affordable
Care Act of 2010: Advancing Health Equity for Racially
and Ethnically Diverse Populations
(Supported by the Joint Center for Political and
Economic Studies)
 Article in Disparities issue of Health Affairs,
October 2011, entitled “Health Reform Holds Both
Risks and Rewards for Safety-Net Providers and
Racially and Ethnically Diverse Patients”
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Intended Outcome & Value
 Report to be issued in March 2013, coinciding with the
8th National Conference on Quality Health Care for Culturally
Diverse Populations
 First-of-a-kind, practical and user-friendly report
offering a snapshot on:
 Status and progress in addressing diversity/equity objectives
through health plans and the exchanges;
 Models and promising practices from across the country;
 Early indicators of outcomes and lessons learned; and
 Guidance, including specific process and strategies, for effectively
meeting requirements.
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Health Plan & Equity Provisions
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1.
Culturally and linguistically appropriate summaries of benefits
and uniform glossaries [sec. 1001]
2.
Culturally and linguistically appropriate claims appeal processes
[sec. 1011]
3.
Ensuring that materials such as enrollment data, claims data, and
financial disclosures are in plain language [sec. 1311(i)]
4.
Providing outreach and education in a culturally and
linguistically appropriate manner [sec. 1311(i)]
5.
Planning for market-based incentives for reducing health care
disparities [sec. 1311 as amended by sec. 10404]
6.
Collecting data on race, language and ethnicity [sec. 4302]
Process for Review & Analysis
 Conducting a review & analysis of:
 Federal rules and guidance related provisions 1-6;
 Peer-reviewed research & policy reports;
 Health plan programs related to diversity & equity;
 Complemented by key informant interviews with:
 Federal and state government officials;
 National experts and advocates;
 Health plans; and
 Community representatives.
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Questions for Health Plans
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1.
What progress has your health plan made to implement the cultural and
linguistic requirements outlined in provisions 1-6 on slide 5?
2.
Are there existing equity, diversity or cultural competence programs
that may inform the implementation of the above requirements in ACA?
3.
What challenges is your health plan facing in implementing these
requirements?
4.
Are there any early indicators of successes, failures, or lessons learned?
Any models or best practices?
5.
What guidance would you provide to other health plans tackling these
requirements?
6.
What related research, reports or initiatives would you recommend we
review to further inform this assessment?
Confidentiality of Information
 Information collected through interviews will be kept
confidential and only accessible by select Project Staff.
 Information you provide will be reported anonymously and/or
aggregately with other plans.
 The only information that will be attributable to a health plan will
be:
 Programs and findings in the public domain (e.g., in published
research or literature); and
 Anything you give us permission to cite in our reports.
 We plan to list all key informants and their respective
organizations at the end of the report in an Appendix. Please let
us know if you do not wish to be listed here.
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Next Steps
 Please indicate to Natalie Slaughter at AHIP your interest in
participating in a key informant interview with us.
 Please indicate your preferred method for providing
information:
 One-on-one phone interview; or
 E-mail questionnaire.
 We hope to complete phone/e-mail interviews by
December 14, 2012.
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Contact Information
Should you have any questions or require additional
information, please feel free to contact:
Nadia Siddiqui
Senior Health Policy Analyst
Texas Health Institute
E-mail: [email protected]
Phone: 281-692-2420 (9am – 1pm CST)
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