Clear all

3 results found

reorder grid_view

Primed: Addressing Social Factors in the Health Care Safety Net

November 16, 2017

The United States health care system is undergoing a major transition from volume-based to value-based care. In California, health care pilots and initiatives offer financial incentives to clinics, hospitals, and health plans to accelerate this transition in order to better serve the state's nearly 14 million safety-net patients.In order to optimize on the value of care rather than the volume of care, health plans and delivery systems are paying greater attention to factors beyond health care that influence a person's health, such as housing, food access, safety, education, and family stability. If health outcomes are to improve, safety net providers and health plans must to be able to understand the comprehensive needs and circumstances of their patients, and learn to coordinate with complex support systems to make sure those needs are met.

Primed: Medicaid Pilots Open Door for Innovation in California

November 1, 2017

The United States health care system is undergoing a major transition from volume-based to value-based care. In California, health care pilots and initiatives offer financial incentives to clinics, hospitals, and health plans to accelerate this transition in order to better serve the state's nearly 14 million safety-net patients.Safety-net organizations must succeed in California's new Medicaid incentive programs in order to remain financially solvent. To carry out these pilots, providers and plans need high-value innovation that engages patients outside of the clinical setting, makes data accessible and usable for all health system staff, and enhances coordination between the health system and its external partners.

An Opportunity to Address Menstrual Health and Gender Equity

May 1, 2016

Menstruation is a monthly challenge for billions of women and girls worldwide. On any given day, more than 800 million girls and women between the ages of 15 and 49 are menstruating. Challenges with menstruation go beyond practical management to issues that affect the girl and her role in the community. While more governments, funders, and other actors are now addressing issues related to menstrual health, many existing efforts are disparate and siloed, and the field lacks the research needed to mobilize more organizations to get involved.This report examines the existing research linking menstrual health to broader outcomes around health, social norms, and education; describes the current state of the menstrual health field; and explores opportunities to better support women and girls.  Top TakeawaysThere has been increased momentum from donors, governments, and other private players to address problems related to menstrual health, but the focus to date has largely been on "hardware" (e.g., products and/or facilities). Few governments, corporations, and NGOs are looking at menstrual health as a systemic problem and thus are missing the opportunity to address the problems sustainably and at scale. There have been limited rigorous evaluations of menstrual health programming to understand what works and is replicable at scale.Evidence about the impact of poor menstrual health on other health, development, and empowerment outcomes is scant, not statistically significant, and largely inconclusive suggesting a need to invest in targeted research to mobilize targeted players in the field.Girls' experience with menstruation is inextricably linked to a broader set of changes affecting girls during puberty. The field needs to explore where menstruation can serve as an opportunity to access girls at a critical transition point in her life. With finite resources available to address issues facing adolescents, understanding the links between menstrual health and a broader set of norms can help to identify if there is an opportunity to influence a cross-cutting set of outcomes and set girls on a longer-term path to success.