From The Commonwealth Fund <[email protected]>
Subject The Connection: Racism in NYC Health Care; Midwives and the Maternal Health Crisis; Medicaid Work Requirements; and More
Date May 8, 2023 7:58 PM
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The Connection

A roundup of recent Fund publications, charts, multimedia, and other timely content.




May 8, 2023

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Fighting NYC&rsquo;s Ongoing Public Health Crisis &mdash; Racism
On The Dose podcast, host Joel Bervell speaks with Michelle Morse, New York City&rsquo;s first-ever chief medical officer. In a wide-ranging conversation, Dr. Morse talks about Black New Yorkers&rsquo; disproportionately high rates of premature death, having racism declared a public health crisis in the city, using community health workers to reach people where they live, and tracking the connection between wealth gaps and health outcomes.

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READ MORE
Midwives May Help Alleviate U.S. Maternal Health Crisis
Research shows that when midwives play a central role in delivering maternal care, clinical outcomes for parents and infants improve, patients are more satisfied, and overall health costs are lower. In a new report, New York University and Commonwealth Fund researchers explain why midwives are so important to the delivery of effective, equitable maternal health care and discuss a range of reforms necessary for full integration of midwives across care settings.

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READ MORE



FEATURED CHART



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Response to the Mental Health Crisis Around the World

The COVID-19 pandemic triggered a rapid increase in mental health issues around the world. A 2021 survey found mental health was the second-biggest health concern overall across 34 countries and the top concern in six others, including the United States. The Commonwealth Fund&rsquo;s Reginald D. Williams II writes in International Insights that a handful of countries have taken steps to expand access to mental health services, including by integrating them better into routine care.

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Addressing America’s Mental Health Crisis

May is Mental Health Awareness Month. At the Commonwealth Fund, we’re focusing our efforts around mental health on integrating behavioral health care with primary care, bolstering the workforce, leveraging Medicare and Medicaid, and improving youth mental health. In partnership with our grantees and partners, we’ll be exploring these topics and potential policy solutions over the next four weeks on Twitter, LinkedIn, and Instagram. Read our explainer on behavioral health care in the U.S., how it works, and where it falls short.

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Medicaid Work Requirements: A Failed Policy

Compelling people to meet work requirements in order to enroll in Medicaid and access health care is a &ldquo;failed policy,&rdquo; says George Washington University health law expert Sara Rosenbaum. Commenting on House-passed debt limit legislation that includes work rules for nonelderly adults applying for Medicaid, she notes on To the Point that such requirements mean loss of access to health services for people with low income. An estimated 21 million Americans are at risk of losing coverage and having their care interrupted because they wouldn&rsquo;t be able to navigate reporting and documentation rules.

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Improving Health for People Leaving Correctional Facilities

People leaving incarceration face higher rates of chronic conditions. Although many qualify for Medicaid, a federal rule prohibits the program from covering anything beyond inpatient hospital care for those in prison. According to Manatt Health researchers, however, new Medicaid waiver flexibility for states has created an opportunity to use Medicaid funding to provide prerelease health care services, with a focus on improving people’s health as they reenter their communities.

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READ MORE

Protecting Patients from Climate Crises

In an interview published by the Administration for Strategic Preparedness and Response,
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health care leaders from Seattle talked about lessons learned from the heat dome and heat waves that the Pacific Northwest experienced in recent summers. Read our recent Transforming Care feature that showed how hospitals and clinics in Seattle and around the country are working to
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become more climate-resilient and protect vulnerable patients.

Supported by the Commonwealth Fund

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Accelerating Health Equity and Business Resilience Through Decarbonization: Action Guide for Board Directors, Commonwealth Fund, Black Directors Health Equity Agenda, and Deloitte Consulting

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Added Therapeutic Benefit of Top-Selling Brand-Name Drugs in Medicare, JAMA, Alexander C. Egilman, Benjamin N. Rome, and Aaron S. Kesselheim

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Catalyzing Change: How State Medicaid Agencies Can Lead Health Care to Reduce Harmful Greenhouse Gas Emissions, Mathematica, Paul Shattuck, Corrie Haley, Raga Ayyagari et al.

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Decarbonizing Health Care: Clean Energy Policy Options, Georgetown Climate Center, Joe Kruger

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Decarbonizing Health Care: Engaging Leaders in Change, NEJM Catalyst, Vivian S. Lee, Kathy Gerwig, Emily Hough et al.

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Trustee Compensation and Charity Care Provision in U.S. Nonprofit Hospitals, Health Affairs, Ge Bai, Sebahattin Demirkan, Hossein Zare et al.





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