Chorus Community Health Plans’ Post

One of the best things we do at the California Health Care Foundation is make sure decision-makers have accurate information and facts on health care issues, especially on Medi-Cal, the state’s health insurance program for Californians with low incomes. For example, did you know Medi-Cal covers 39% of all births in California? That's a big deal as state and local health leaders find ways to improve maternal care and ensure children have quality care from their earliest days. Learn more in CHCF's newest Medi-Cal facts and figures almanac about how state leaders can implement strategies to address disparities in access, quality, and outcomes of care for Medi-Cal enrollees of color. #facts #healthcare #MediCal

As we start to digest the changes coming from the finalization of CMCS' managed care and access final rules, here are some broader thoughts on the value of Medicaid and managed care. I was privileged to be able to sit down with AHIP's communications team recently to talk about why Medicaid matters, the value-add of managed care, and what we all can do to improve how we meaningfully engage the members we serve. It starts with polar bears and the Dharma Initiative, but eventually gets to a focus on culturally and linguistically relevant member engagement strategies to improving the eligibility redetermination process, Along the way we touch on Health Related Social Needs, the need for better care for justice involved populations, and the challenge and opportunity to better handle transitions in life circumstances that too often mean that people can lose their connection to the health care system. Miranda Motter Anna Dunbar-Hester Kate Honsberger Erhardt Preitauer Taira Kelley Kevin Moore Kevin Bagley, DHA, FACHE Phillip Burrell Stephanie Stephens Andy Allison Andy Vasquez Karen Shields Brett Davis Marnie Basom Vikki Wachino Friso van Reesema Perla Ni Jonas Nicholson Stephen Cozzo Alexander Shekhdar Victor Sanchez Lance Robertson Suzanne Bierman Leesa Allen Gary Jessee Marc Samuels Patroski Lawson, MSP/CSW Christina M. Hartman Charles Luband Jamie Richards Whitney

Anxieties about insurance coverage come up all the time in primary care practice. It is a common barrier to our being able to care for people as they need and deserve. All of us receive messages from patients who need help but won't make an appointment because they have lost their insurance. All of us have seen patients who were off their medications for extended periods - with irreversible consequences to their health - because they lost their insurance and didn't realize how they could get new coverage. All of us have patients who skip medications, or can't get to appointments, or refuse specialist care, because their insurance plan is not well designed for their needs. Never again will the staff and physicians at Jefferson Health feel at a loss in these situations. Starting this week, all our ambulatory teams will have a simple referral option in our Electronic Medical Record, to connect patients to independent insurance navigators who will provide professional counseling about the range of options available to them. In less than 5 seconds, we can now connect our patients to the advice they need. This is a major, concrete win in our efforts to meaningfully address the social determinants of health. Thomas Jefferson University Jefferson Collaborative For Health Equity #insurancenavigation #socialdeterminants #primarycare #ambulatorycare #healthjustice

My journey as a mother to my beloved daughter has truly deepened my understanding of the critical importance of being well-versed in health insurance options. Ensuring access to top-notch healthcare for our family should never be impeded by financial barriers. By staying informed about the array of insurance plans available and staying abreast of developments within the healthcare system, we can guarantee that our children receive the necessary care they deserve. Let's take a proactive approach by increasing our awareness of insurance, thereby securing the best possible support and making informed decisions for the well-being of our children. Together, let's advocate for a healthcare system that prioritizes inclusivity and accessibility for all. It is essential that we strive for a healthcare environment that is welcoming and accommodating to individuals with different needs and backgrounds. By advocating for policies that promote equal access to healthcare services, we can create a more equitable and compassionate system that benefits everyone. Let's work towards a future where healthcare is truly accessible to all, regardless of their circumstances or conditions. #talk2tm #healthinsurance #informeddecisions #downsyndromeadvocate #disabilityadvocate #neurodivergent #healthcareequality #accessibilityinhealthcare

C̳h̳i̳l̳d̳r̳e̳n̳’̳s̳ ̳D̳a̳y̳ ̳A̳p̳p̳e̳a̳l̳:̳. On this Children's Day, as we celebrate the joy and potential of our children, we must also recognize our collective responsibility to ensure their well-being. One of the most significant ways we can achieve this is through providing comprehensive health insurance for every child. Today, i call on the government and the people to join me in this vital mission. A Call to Action: This Children's Day, let us unite in our commitment to ensuring every child has access to comprehensive health insurance. We plead with the government to enhance and expand health insurance programs, making them inclusive and affordable. We urge the public to advocate for policies that protect our children's health and to support community efforts that provide health resources. Together, we can build a future where no child is denied the healthcare they need. Let’s collaborate to make health insurance for every child a reality, securing a brighter, healthier future for the next generation. Join me in this crucial endeavor, and let's make a lasting impact on our children’s lives. Happy Children's day 💕💕 Dear Parents, 𝘾𝙖𝙣 𝙩𝙝𝙞𝙨 𝙜𝙚𝙣𝙚𝙧𝙖𝙩𝙞𝙤𝙣 𝙤𝙛 𝙘𝙝𝙞𝙡𝙙𝙧𝙚𝙣 𝙨𝙩𝙞𝙡𝙡 𝙗𝙚 𝙩𝙝𝙚 𝙡𝙚𝙖𝙙𝙚𝙧𝙨 𝙤𝙛 𝙩𝙤𝙢𝙤𝙧𝙧𝙤𝙬? kindly share your thoughts ----------------------^^^^^^^^^------------------------------- 𝐈 𝐫𝐞𝐦𝐚𝐢𝐧 𝐲𝐨𝐮𝐫 𝐧𝐮𝐦𝐛𝐞𝐫 𝟏 𝐋𝐢𝐧𝐤𝐞𝐝𝐈𝐧 𝐠𝐨-𝐭𝐨 𝐇𝐞𝐚𝐥𝐭𝐡 𝐢𝐧𝐬𝐮𝐫𝐚𝐧𝐜𝐞 𝐍𝐮𝐫𝐬𝐞. #HealthInsurance #happychildrenday #NGO #insurancenurse #Childswellbeing #20daylinkedinchallengewithhaoma #stayhealthy

One of the most powerful aspects of health advisory is its ability to address the unique needs of different generations within a family. An expert healthcare advisor can offer guidance for elders, their adult children, and even younger generations dealing with mental health or early adulthood challenges. They do this by:   Helping the Sandwich Generation to Juggle Healthcare Challenges     Supporting Parents with Home Care and Emergency Planning Addressing Mental Health and Early Adulthood Creating Personalized Plans for Every Generation —--- Whether it’s assisting with elder care decisions, coordinating doctor appointments for middle-aged clients, or helping younger generations navigate complex health insurance options, an integrated plan can help families protect both their health and their financial well-being.  For more tips, link to the full article in the comments.    Need healthcare advice? At Wellworth, my team and I advise family offices and their clients on healthcare issues that require bespoke advice.    Book a time with me via the link in the comments. #GenerationalHealth #Healthcare #SandwichGeneration #HealthAdvisory

As always, my fellow IBD patient advocate, Natalie Hayden, expertly examines a healthcare and patient experience issue that we all need to be talking about -- the time-intensive, frustrating task of constantly having to go "head-to-head" with insurance companies patients are saddled with. (Story of my life! I'm dealing with an absurd and annoying-as-heck insurance situation now...) 😣 Check out her recent blog, "Healthcare Here: A Campaign to Take the Burden Off Patients and Hospital" on her Lights, Camera, Crohn's website to learn more about this issue and Healthcare Here's mission to address it. 😷 🏥 Here's a snippet: "Going head-to-head with insurance companies goes hand in hand with managing chronic illness. The amount of time wasted, and energy exhausted over the course of a patient’s journey is incomprehensible. But the Alliance for Access to Care is looking to change that with the help of its latest campaign known as Healthcare Here. This coalition of healthcare associations has shared concerns about the way that insurance companies have adopted and implemented practices and policies that impede timely decisions related to treatment coverage at the expense of patient care. The burden of these practices, as we know all too well, not only falls on patients, but also on local hospitals that make up the backbone of community care that so many people rely on." #patientadvocacy #healthcare #healthadvocacy #healthcarehere #allianceforaccesstocare #catholichealthassociation

Journalists, policy makers and leaders around the country are using Patient Rights Advocate's online price transparency tool to bring important issues to light. Some key findings here: ▶ Different hospitals, different prices. The procedure is listed at $73,719 at Southern Ocean, $60,090 at Jersey Shore and $55,156 at Bayshore. ▶ Different insurance companies, different prices. At Jersey Shore, the negotiated rate for the procedure for non-Medicare plans ranges from $43,020 at Cigna to $63,518 at UnitedHealthcare, the later of which is more than the gross price.  ▶ Same insurance company, different hospitals, different prices. ▶ Commercial insurance plan, Medicare Advantage plan, different prices.

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 From Florida Politics: ‘Diagnosis for 5.22.24: Checking the Pulse of Florida Health Care News and Policy’ "Welcome back to Diagnosis, a vertical that focuses on the crossroads of health care policy and politics.— Anticipation is keeping us waiting—Two major federal lawsuits dealing with Florida’s safety net health care program and subsidized children’s health insurance programs remain in a holding pattern." Read More: bit.ly/3V2a0KM #EarlyLearning #EarlyChildhood #TheChildrensMovement