Achieving Health Equity via the Affordable Care Act Promises, Provisions, and Making Reform a Reality for Diverse Patients: Workshop Summary (2015) / Chapter Skim
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1 Introduction and Themes of the Workshop
1 Introduction and Themes of the Workshop
Pages 1-6
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On April 22, 2013, the roundtable held a workshop at the Mark Twain House and Museum in Hartford, Connecticut, titled Achieving Health Equity via the Affordable Care Act: Promises, Provisions, and Making Reform a Reality for Diverse Patients. Sponsored and hosted by the C onnecticut Health Foundation (see Box 1-1)
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Goal 2: Strengthen leadership and network capacity to promote health equity in health care access and delivery. • bjective 1: Cultivate diverse, skilled health equity leaders who advocate O for and effect change in private, public, and nonprofit sectors.
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For the purposes of this summary, the definition of health equity used in the planning and implementation of this workshop is from the Connecticut Health Foundation. "We see health equity not just as an aspiration, but as a framework for understanding problems and generating solutions that will help more people, especially populations of color, gain access to better health care."1 The definition of health disparities used in this summary is that used in the IOM's 2003 report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care: "racial or ethnic differences in the quality of health care that are not due to access-related factors or clinical needs" (2003, p.
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"We have to get into the churches, we have to get into the streets of Hartford and New Haven and Bridgeport, and make sure that all people know that this is available." -- Lieutenant Governor Nancy Wyman Congressman John Larson, representative from the First District of Connecticut, noted that the ACA continues to face political headwinds. The politics of health care is "not for the faint of heart," said Larson, who was instrumental in the legislation's passage.
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• The numbers of uninsured people in a state can be dramatically reduced, but doing so will require comprehensive and personalized outreach. • Information technologies can provide powerful tools to increase insurance coverage and keep people covered.
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Chapter 4 examines the issues associated with patient-centered medical homes, which offer a particularly promising way to achieve greater equity in health care. Chapter 5 examines the institutions that collectively serve as a safety net for patients and at the roles that they will play under the ACA.
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