The Root Cause Coalition Weekly Bulletin: Monday, February 24, 2020



TRCC News and upcoming events

This Wednesday: 2020 Status of Health Equity Report Launch
The Coalition invites you to join us for the formal release of The Root Cause Coalition 2020 Status of Health Equity Report on February 26th from 8-10:30 a.m. at the National Press Club’s Holeman Lounge located at 529 14th St. NW. Washington D.C., 20045.

The Coalition’s 2020 Status of Health Equity Report captures the progress – as well as gaps – in addressing health disparities and socioeconomic factors influencing individual and community health and well-being, and builds a compelling case on how, collectively, we must thoughtfully and intentionally disrupt the current delivery model to focus on socioeconomic factors that contribute to health equity.

Please join us this Wednesday, February 26th as the Coalition’s leadership, Board of Trustees and members review the report’s findings and discuss next steps in creating an equitable society.
Please RSVP by clicking here.
Webinar: How To Design a CBO Capacity-Building Initiative to Meet Demand for Social Services
Join The Root Cause Coalition, Collaborative Consulting and the Marin Community Foundation today, February 24, 2020 from 1-2 p.m. EST for this presentation on how to develop capacity building initiatives to meet the growing need for social service programs. This webinar will illustrate how a community foundation recognized that nationally emerging trends were also signaling a future at the local level that called for social services to be delivered more effectively, and seized the opportunity to design and implement a multiyear, multifaceted capacity building initiative to strengthen a local cohort of community-based organizations. Register for the webinar here.

social Determinants in the News

Social Determinants of Health Program Generates ROI
The Individualized Management for Patient-Centered Targets (IMPaCT) program returned $2.47 for every dollar spent at a Pennsylvania health system addressing the social determinants of health. The $567,950 a year program saved Medicaid over $1.4 million through a 30 percent reduction in hospital admissions.

Molina Launches Innovation Center to Address SDoh
The National Molina Healthcare Social Determinants of Health Innovation Center in Columbus, Ohio aims to identify and address social barriers to care through collaboration among health care providers and other partners at the local and national level. Initiatives will include collecting and analyzing Molina members’ social determinants data, developing national programs, tracking social service interventions, and building a database of member outcomes.

Artificial Intelligence Benefits Patients, but may Present Potential SDoH Bias
AI prediction tools built into EHRs could assist hospitals and health systems by improving operations for overbooking. However, the technology does not account for societal inequity such as prior no-shows due to a patient’s inability to take off work or a patient with obesity who struggles with mobility and is unable to make their appointment time.

State-Funded New York Organization Pursues New Model to address SDoH
Alliance for Better Health, based in New York, will be an intermediary between health care providers, payers and community-based organizations to address SDoH. Instead of health care providers directly investing in social needs services, this model uses an independent practice association to create partnerships, take referrals for services and manage billing, CEO Jacob Reider says.

Canada: Children’s Health Closely Tied to Income
Health data of children in Manitoba, Canada showed that 19 of 20 pediatric health outcomes were related to neighborhood socioeconomic status. Of those outcomes, 16 were related to income level alone. The findings, published in Pediatric Research shows that neighborhood poverty has a correlation with infant mortality, teen pregnancy and pediatric hospitalization.

Where Providers and Payers Stand on Consumerism, Value-based Care and Healthcare Transformation
The 2020 Industry Pulse Report, an annual national survey commissioned by Change Healthcare and the Healthcare Executive Group, revealed differences among providers and payers. Of 445 total respondents, 100 percent of payers said they had some kind of consumer-centric strategies, while 14 percent of providers appear to have no consumer-centric strategy all. Though there were differences in value-based care, both payers and providers aligned on issues of social determinants of health.



SDOH Advocacy Update  

Current updates on state and federal SDoH Advocacy

H.R.5751 – Electric Vehicles for Underserved Communities Act of 2020
As introduced by Representative Yvette Clarke [D-IL] in the first week of February, the act seeks to assess and create a report on the challenges to and opportunities for deployment of electric vehicle charging infrastructure in urban areas, particularly in underserved or disadvantaged communities. The information in this report will work to address transportation needs and provide improved air quality in underserved or disadvantaged communities. This bill was referred to the Committee on Energy and Commerce, and the Committee on Science, Space, and Technology where it has since picked up six new cosponsors since introduction.

S.3220 – Ensuring Access to Direct Support Professionals Act
The Ensuring Access to Direct Support Professionals Act, introduced by U.S. Senators Rob Portman [R-OH] and Kirsten Gillibrand [D-NY] on Jan. 21, would allow Medicaid to cover the cost of Direct Support Professionals, who play a key role in assisting older adults and those with disabilities. The bill was introduced in late January and referred to the Committee on Finance, where it has seen no movement but has picked up two new bipartisan cosponsors.

S.3293 – Food and Nutrition Education in Schools Act of 2020
Senator Cory Booker [D-NJ] introduced this legislation, which would establish a ‘Food and Nutrition Education in Schools Pilot Program’ to provide funding for nutrition education in schools along with other projects and evidence-based interventions relating to student health and nutrition. The bill specifically encourages joint partnership projects under the pilot program among different sectors such as nonprofits, businesses, state and local government agencies and others. It has a bipartisan cosponsor and was referred to the Committee on Agriculture, Nutrition and Forestry after it was introduced in mid-February.

2021 Proposed Budget Drastically Cuts Food Assistance
The White House released its proposed budget for the 2021 Fiscal Year last week. The section addressing the United States Department of Agriculture proposes cutting funding for the Supplemental Nutrition Assistance Program (SNAP) by $15 billion in 2021 and more than $180 billion over the next 10  years. The proposed budget would also establish stringent work requirements, building on those that have been implemented through regulation, which would remove many recipients and their families from SNAP. The budget also proposes a nearly two billion dollar cut to child nutrition programs which would substantially limit children’s access to free and reduced-price meals at school. As proposed, these measures would drastically increase food insecurity for individuals and families across the country as they seek to achieve financial stability.



The Root Cause Coalition Member Spotlight

Harvard Law School Clinician Testifies in Support of Massachusetts Food and Health Pilot Program
TRCC Inaugural Partners, Center for Health Law & Policy Innovation of Harvard Law School (CHLPI) and Community Servings, a non-profit food and nutrition program, testified in support of legislation for a state-wide food and health pilot program before the Joint Committee on Public Health at the Massachusetts State House. The legislation, titled An Act Relative to Establishing and Implementing a Food and Health Pilot Program, was introduced by Massachusetts Sen. Julian Cyr (D-Truro) and Rep. Denise Garlick (D-Needham). It provides a blueprint for successful integration of nutrition services into health care delivery  to improve health outcomes and reduce health care costs for those living with food insecurity and chronic illness.