Episode 8 of the More than Health Care: A Community Health Conversation
podcast is now available on the Alliance’s website and on Apple Podcasts, Google Play, and Spotify. Every other week, a new episode uncovers keys to collaboration and holistic health in pursuit of improved health outcomes and lower costs for all. This episode features Kevin Moore, vice president of policy and strategy for UnitedHealthcare’s community and state program.
In his current role with UnitedHealthcare, Moore focuses on the development of sustainable interventions that improve the health of those served by the company. This includes identifying and addressing social, economic, workforce, transportation and nutritional barriers, while also working to find community-based organizations to partner with as leaders who can best deliver needed services.
Moore has witnessed that states are evolving their outlook to get more value out of Medicaid spending, and he sees the Alliance as having value in this area. “Part of the reason why we’re part of the Alliance is because we’ve recognized the connection between human services, the work that is done in our communities and also if that’s in alignment and in partnership with us as a health insurer for Medicaid ... we're really excited about that opportunity,” said Moore.
To do the best job for individuals and families, Moore knows that finding the right partnerships is essential, and that means looking beyond just the services offered by an organization. The ability to find programs that are sustainable for the long term, given the parameters set up through Medicaid, is vitally important. As Moore shares in relation to dealing with episodic funding, “While that may be fine as you’re looking at pilots, we’re really interested in trying to figure out how do you start to get momentum. ... How do you set a framework, a foundation so that you can start to build it.” Moore says that building these programs with sustainability in mind means each is configurable with commonality in infrastructure so that no matter what state’s residents are being served, the program has a common base that is customizable for a specific community’s needs.
Moore also feels that each of the entities involved, including insurers, health care, government, and community-based organizations need “translators” to help each sector understand each other’s needs and what can be offered. But the bottom line remains: How does this serve the community? And Moore feels that this means working with organizations like the Alliance to build relationships and better understand the strengths of community-based organizations.
In Part 2 of the podcast, Moore provides insight on the evolution of the Medicaid 1115 waiver with regard to how states are being more aggressive in using it as a tool to get payment for specific services that were traditionally not covered. He points out that a number of state governments are asking for this type of flexibility to not only allow for funding, but to address sustainability.
Moore also expresses that healthcare's "Triple-Quad Aim" [centered around enhancing patient experiences, improving population health, and reducing costs while also improving the work life of clinicians and staff] is driving his organization to work toward better value; and this includes working with all entities who provide care and services. "We're filling those immediate gaps ... building trust, building rapport as we’re engaging with our provider networks ... [ensuring] that we’re aligning, that we’re not duplicating, that’s the opportunity not only for sustainability, but also to get better outcomes."
Listen as Moore provides additional insight in Part 2 of Episode 8 of the More than Health Care Podcast available through the Alliance website or subscribe on the Apple Podcast, Google Play, or Spotify apps.
At the 2019 Alliance National Conference, Moore will present a workshop alongside Jane Pirsig, executive director of Alliance member Aurora Family Service in Milwaukee. Their session will discuss how community-based organizations and health plans can collaborate to improve health.
About the Podcast
While many are realizing that collaboration and holistic approaches are the solution, the health care and human services sectors are struggling to find the right formula to realize the full potential. The More than Health Care podcast is designed to help organizations overcome barriers to partnerships resulting from cultural differences, financial pressures, and rules and regulations.
In addition to showcasing inspiring examples of integration from across the country, featured experts will expose the myths, misconceptions, and shortcomings of efforts to address the social determinants of health through collaboration across sectors.
This podcast is presented by the Alliance for Strong Families and Communities, Ascentria Care Alliance, and Beech Acres Parenting Center. Cohosts Jill Huynh, vice president of new business development at Beech Acres, and Tim Johnstone, executive vice president of community services at Ascentria, work at the intersection of health and human services, bringing the expertise and practical experience to uncover key takeaways for improving health care and human services integration.
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