Advancing the Science to Improve Population Health Proceedings of a Workshop (2017) / Chapter Skim
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5 Population Health Research Priorities: Perspectives from Users of Research
5 Population Health Research Priorities: Perspectives from Users of Research
Pages 29-40
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From page 29... ...
, provided his perspective from working with the local health officials NACCHO represents. The consumer perspective was provided by Ron Pollack, executive director of Families USA.
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From page 30... ...
; (2) best practices for public health and health care delivery to improve population health out comes beyond the health care facility; and (3)
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From page 31... ...
Local public health regularly interfaces with and convenes community members around community health needs assessments, community health improvement plans, and other activities. NACCHO uses research to understand the needs of its members and maintains a state-of-the-art national database of all local health departments, Hasbrouck said.
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From page 32... ...
CONSUMER PERSPECTIVE4 Families USA is committed to achieving affordable, high-quality health care for all Americans, and is deeply concerned about those who are least advantaged, Pollack said. He emphasized the need for more attention to safety net programs, noting that the single largest provider of health coverage today is the Medicaid program.
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From page 33... ...
Small and medium-sized businesses may consider dropping out and referring employees to the marketplace, he said, particularly as premiums rise and enrollees experience significant increases in deductibles and copayments. Analytical data will be needed to explain what happens to the approximately 150 million people who now get their coverage through employer-sponsored plans (e.g., insurance status, quality of coverage obtained)
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From page 34... ...
Elam explained that ASPE coordinates the evaluation work, research and demonstration activities, legislative planning, strategic planning, and other activities on behalf of the secretary of HHS. ASPE also conducts and contracts research and evaluation activities, policy analysis, and cost– benefit estimates of policy alternatives that are under consideration by HHS or Congress.
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From page 35... ...
Research areas include identifying effective incentives, mitigating unintended consequences of delivery system reform, the outcomes of reform on vulnerable populations, and coordinating programs to serve vulnerable populations and the dually eligible. There are also opportunities to better use and coordinate disparate governmental programs to promote health.
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From page 36... ...
rishnamoorthy agreed K with Pollack about the need to better understand the effect of Medicaid expansion programs. She noted that several states are including health risk assessments or a commitment to healthy behaviors in the Medicaid enrollment process.
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From page 37... ...
Nancy Krieger of H arvard University relayed a comment from a conference she attended; the speaker had said that, in the context of urban planning, reframing the message as one of livable cities and sustainability helped to get the attention of policy makers outside of the health care system. The language of population health is necessarily different from that of individually oriented clinical care, Krieger noted, and both languages are needed.
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From page 38... ...
She also mentioned changes to cases not made in active living programs, supported by the Robert Wood Johnson Foundation, to promote healthy communities. There are competing concerns, she noted.
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From page 39... ...
He noted that the Patient-Centered Outcomes Research Institute is constrained in this area by the ACA. Families USA, in partnership with the Institute for Clinical and Economic Review, is analyzing half a dozen clinical problems to consider both the clinically effective options and the cost-effective options people have.
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