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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3 The ACA and Health Equity
3 The ACA and Health Equity
Pages 23-32
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From page 23... ...
(DeVoe) • N etworks of patient-centered medical homes, community health centers, school-based health centers, rural health centers, and other organizations could constitute patient-centered "medical villages" that could share resources, develop and replicate best practices, and spread successful innovations.
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From page 24... ...
Among more than 4,000 adults with diabetes who received health care services at federally qualified health centers (FQHCs) from 2005 to 2007, only 64 percent of those partially insured but 82 percent of those continuously insured had received cholesterol screening (Gold et al., 2012)
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Disparities persist, she said, but "some progress" has been made in closing the gap in insurance coverage. However, as more children have gained coverage, their parents have lost coverage (see Figure 3-2)
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If current rates were extrapolated into the future, the average household would be paying half its income in health care costs by the year 2030 and all of the family's income by 2040. These rates of increase will have to change quickly for insurance coverage to be affordable, said DeVoe.
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The United States already spends much more money on health care than other high-income countries, yet its population has worse health status than the populations in those countries. Furthermore, as health care costs continue to rise, other valuable investments, such as spending on education, are inevitably squeezed.
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To expand the number of sites where training and research take place, health care services need to be better organized, coordinated, and delivered. Primary care is the foundation of health care, DeVoe stated, and the Primary Care Extension Program, which has been authorized but not funded, could speed the transformation of primary care centers into a hub for 1 As defined under the ACA, a health home provides comprehensive care management, care coordination and health promotion, comprehensive transitional care, patient and family support, referral to support service, and use of information technology to link services (if applicable)
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SOURCE: Angier, 2014. Adapted or reprinted with permission from Health Information Technology: An Untapped Resource to Help Keep Patients Insured, November/December, 2014, Vol.
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As an example, DeVoe cited the OCHIN group, with which she has been involved. An independent nonprofit founded in 2002 and headquartered in Portland, Oregon, OCHIN is one of the nation's largest health information networks and is recognized for its innovative use of information technology to improve the integration and delivery of health care services across a wide variety of practices.
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From page 31... ...
Demonstration projects for the transformation of primary care need to be continued and expanded through the use of community laboratories that support the development of the primary care infrastructure. As an example of infrastructure development, DeVoe highlighted that OCHIN is part of a larger network funded by the Health Resources d Patients and Co Engage mmu lthy, Hea niti es Medicaid Managed Care Federal and Organizations State Offices for Special Populations Public Health Partnerships that activate Departments patients and providers in Effectively transfer care innovation information among partners PCMH Educate the health (rural health Patient-Centered Medical Village workforce in IT center)
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From page 32... ...
Nevertheless, the ACA offers an unprecedented opportunity, DeVoe said. Health equity is about ensuring that people in the United States have their basic needs met, and one of those basic needs is access to health insurance and health care.
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