HEALI’s vision is to build and provide an integrated, holistic, culturally and linguistically responsive health and human service delivery system that results in equitable health and life outcomes for all Long Islanders.

News

Healthfirst Publishes Use Cases on Narrowing Health Outcome Disparities

Documents

Click on the links below to view the documents.

Medicaid 1115 Redesign

What are Social Determinants of Health?

Social Determinants of Health and Community Based Organizations

What are Value Based Payments?

Delivery System Reform Incentive Payment Program (DSRIP)

Section 1115 of the Social Security Act permits the Secretary of the Department of Health and Human Services (HHS) to approve experimental, pilot or demonstration projects that test and evaluate state-specific policy changes in Medicaid and CHIP programs to improve care, increase efficiency and reduce costs without increasing federal Medicaid expenditures. Through the 1115 Waiver, HEALI seeks to:

• Address health disparities and systemic health care delivery issues that have been highlighted and intensified by the COVID-19 pandemic,
  Promote community-based and non-institutional care.
• Better integrate health care and social care,
  Leverage emerging technologies and care models.
• Help contain costs by providing quality health care.
• Investing in equitable and culturally appropriate health care, and ensuring everyone can get the coverage they need.

The 1115 waiver proposal aims to build upon New York State’s successes and lessons learned from the Delivery System Reform Incentive Payment (DSRIP) Program to achieve sustainable system reform with a focus on reducing health disparities and promoting health equity by fully integrating social care and health care in the Medicaid program.

Upon CMS’ response to the concept paper, the State will develop a formal waiver request that will be open for public comment at both the state and federal levels.

The waiver seeks to promote health equity by addressing the Social Determinants of Health (SDOH). SDOH have a major impact on people’s health, well-being, and quality of life. Examples of SDOH include:

• Safe housing, transportation, and neighborhoods
• Racism, discrimination, and violence
• Education, job opportunities, and income
• Access to nutritious foods and physical activity opportunities
• Polluted air and water
• Language and literacy skills

Click here to view the 1115 Medicaid Waiver.

The deadline for the public comment period was extended to May 20th. Written comments will be accepted by email at 1115waivers@health.ny.gov or by mail at New York State Department of Health, Office of Health Insurance Programs, Waiver Management Unit, 99 Washington Avenue , 12th floor (Suite 1208), Albany, NY 12210.

Resources, summaries and commentary on the amendment application:

• Summary of what changed between the concept paper submitted in 2021 and the draft
  application, by Kalin Scott of Helgerson Solutions Group
• Archived webinar and slides providing summary information by Health Management
  Associates
• Manatt Health issue brief on Medicaid 1115 waivers and how they can address health equity

The United States’ maternal mortality rate ranks 47th among developed nations, and it’s even worse for women of color. African-American women are three times more likely than other women to die from childbirth-related complications.

At the December 15th HEALI meeting, Shanequa Levin (Founder and CEO of the Women’s Diversity Network) and Dr. Martine Hackett (Program Director and Associate Professor of Population Health at Hofstra University) detailed just how alarming these figures are. To view their presentation, please click here.

Ms. Levin and Dr. Hackett also led a discussion among the coalition members on how to improve the social determinants of health for pregnancy and birth. To view the notes from the discussion, please click here.

Health Equity Task Force

The Women’s Diversity Network hosts a monthly health equity meeting on the first Monday of every month at 7:30pm.

You can register for their meeting here.

Additional Information and Important Articles

The Commonwealth Fund: Policies for Reducing Maternal Morbidity and Mortality and Enhancing Equity in Maternal Health

CDC: Working Together to Reduce Black Maternal Mortality

Patient Safety Network: Health Equity and Maternal Health

Community Health Workers (CHWs) are frontline public health workers who have a close understanding and passion for the community they will be serving. Community Health Workers provide health and social service support to individuals in the community and also build community capacity by increasing health knowledge and self-sufficiency through a range of activities such as community education, counseling, and advocacy.

Working with a Community Care team including Doctors, Nurses, Therapists and Social Workers, CHWs conduct home visits, facilitate transportation and patient appointments, link patients to supportive services and teach patients self-management techniques with the goal of improving health outcomes.

Whole Person Care & Community Health Worker Model: Choice for All

Choice for All, a Long Island based nonprofit that provides direct services and promotes community-led campaigns focused on education, health, and economic justice, has adopted a Community Health Worker Model to help community members by addressing the Social Determinants of Health.

At a recent HEALI meeting, Choice for All explained how this approach helps to insure children grow up in a healthy environment. You can view their presentation by clicking here.

June 2022: Danika Mills, North Carolina State Network Director for Unite Us

Meeting Recording

Presentation 

NCCARE360 Case Study

• NCCARE360 is a state-wide coordinated care network utilizing Unite Us for tracked referrals.

May 2022: Emily Engle, New York State Department of Health

Meeting Recording

PowerPoint Presentation

April 2022: Sergio Matos on Community Health Workers & Bob Detor on the 1115 Waiver

Notes

Meeting Recording

March 2022: Hands Across Long Island Peer Support Specialist

Melissa Wettengel, Aviva Cohen, Kris Bly, and James Ford

Notes

Meeting Video

February 2022: Community Health Advocates Panel:

• Arielle Burlett, Director, Healthcare-Community Partnerships at Public Health Solutions
• Stanley Smith, Community Health Advocates Supervisor at LIFQHC
• Carmen Garcia, Community Health Worker Supervisor, Make the Road

Notes

Meeting Video (Passcode: wb81f88)

January 2022: UniteUs/NowPow Software

Notes

Presentation

Meeting Video

December 2021: Maternal Morbidity and Mortality Prevention 

Notes

Presentation: Shanequa Levin (Founder and CEO of the Women’s Diversity Network) and Dr. Martine Hackett (Program Director and Associate Professor of Population Health at Hofstra University)

November 2021: Community Health Worker

Presentation: Jacob Dixon (CEO of Choice for All)

Presentation: Naheed Kahn (Community Health Worker Program Grant Director at Nassau Community College)

October 2021: New York Medicaid 1115 Waiver

Notes

Presentation: Emily Engle (New York State Office of Health Insurance Programs)

September 2021: Success and Next Steps

Notes

Presentation

Oregon:

• The Oregon Health Authority (OHA) has developed a set of policy concepts which outline changes OHA proposes to make to the Oregon Health Plan as part of our effort to advance health equity. These concepts are the basis of OHA’s upcoming application to CMS, whose approval is needed to implement policies reflected in these concept papers.
  • Summary of Policy Concepts- A Pathway to Health Equity

To work with HEALI to build a future for Long Island in which zip code no longer determines health outcomes, please fill out this form to participate in the next HEALI meeting, which occurs the third Wednesday of every month at 10:00am.

If you have any questions, please email Jake Ryan at jryan@hwcli.com or call (516)-904-4454.