Building Sustainable Financing Structures for Population Health Insights from Non-Health Sectors: Proceedings of a Workshop (2018) / Chapter Skim
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1 Introduction
1 Introduction
Pages 1-6
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. The uneven distribution of health in the United States has been the result of multiple forces -- from a wide variety of sectors -- that shape the life experiences of individuals, explained workshop planning committee 1 The planning committee's role was limited to planning the workshop, and the Proceed ings of a Workshop was prepared by the workshop rapporteur as a factual summary of what occurred at the workshop.
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The roundtable's vision is of a strong, healthful, and productive society that cultivates human capital and equal opportunity. This vision rests on the recognition that outcomes such as improved life expectancy, quality of life, and health for all are shaped by interdependent social, economic, environmental, genetic, behavioral, and health care factors and that achieving these outcomes will require robust national and community-based policies and dependable resources.
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resources, and with the aim of improving health, wealth, well-being, and health equity, the workshop agenda was developed by the planning committee with the following objectives to: • Improve the fiscal fluency of decision makers and the public to move toward common purpose at community scale and explore frameworks for funding reinvestment and reallocation. • Identify existing opportunities and constraints on realigning funding in ways that are conducive to co-benefits (for all sectors involved)
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As preparation for the forthcoming discussions, an audience participation activity was conducted by Christopher Parker, an associate project director at the Georgia Health Policy Center and a co–principal investigator of Bridging for Health, an initiative sponsored by the Robert Wood Johnson Foundation. Bridging for Health, Parker said, seeks to both identify and to catalyze local multi-sectoral collaborations that are using innovative financing mechanisms that could support population health and health equity.
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The theme across the responses, Parker said, was that the state of financing for population health is fragmented, dysfunctional, and generally not what it needs to be, but that there is significant potential for change. The response words and phrases included "fragmented," "dysfunctional," "rare," "lacking," "constrained," "stingy," "uncoordinated," "nonexistent," "missing," "inadequate," "woefully inadequate," "not aligned with expectations," "tricky," "lopsided," "in the shadow of the health care financing," "grant dependent," "limited," "seeking direction," "lacking data," "not connected enough to innovation," "new horizon," "emergent," "poised to unlock great value," "potential," "exciting opportunities for change," and "full of possibility and potential." Parker also asked participants to say what they thought could spark the greatest improvements in financing population health at scale and to describe the extent to which they feel they have enough fiscal fluency to be a champion for population health at scale (see Figures 1-1 and 1-2)
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SOURCES: Parker presentation, October 19, 2016 (generated by audience input on PollEverywhere, with poll questions developed by Bobby Milstein and Christopher Parker)
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