Tuesday, August 12, 2014: There is strong evidence that team-based primary care has significant benefits for patients and providers. Some care teams now include non-clinicians, such as medical assistants, health coaches, care coordinators, or community health workers. This requires both a financing source to support non-clincians’ services and training to integrate them with clinical care teams. This webinar provides context on the evidence supporting expanded roles for non-clinicians as members of care teams, and highlights case studies from two states, Maine and South Carolina, that have successfully leveraged Medicaid financing for non-clinician services and harnessed training opportunities to support expanded roles within redesigned primary care teams.
Author Archive for: katharine-witgert
About Katharine Witgert
Katharine Witgert is a Senior Program Director at NASHP, where she leads research and analysis on coverage and care for chronically ill and vulnerable populations. In this capacity, she oversees a portfolio that assesses how new public coverage options, delivery system reforms, and health care workforce development efforts intersect to affect care for vulnerable individuals and families, including persons living with HIV/AIDS, those with mental health, behavioral health, or substance use disorders, and those with criminal justice involvement. Ms. Witgert’s work includes policy research and analysis, evaluation, and technical assistance to states. She provides individual technical assistance to state officials in Medicaid agencies, Title V MCH programs, and Ryan White HIV/AIDS bureaus, and has led learning collaboratives that include Medicaid officials together with safety net providers from public health agencies and community health centers. She speaks to national audiences about the opportunities and challenges in serving vulnerable populations through a combination of insurance coverage and public health programs. Ms. Witgert has a MPH from the Yale School of Epidemiology and Public Health.
Entries by Katharine Witgert
This brief explores ways that states are sharing the responsibility of consumer assistance with the federal marketplace in three key areas: marketing and advertising initiatives, the work of navigators and other in-person assisters, and the development of a system for eligibility decision appeals. It also provides specific examples of states utilizing the Federally Facilitated Marketplace […]
State Medicaid programs are the primary source of health coverage for the majority of people living with HIV/AIDS (PLWHA) in the U.S. Coordination between Medicaid and Ryan White HIV/AIDS Programs (RWHAP) is integral to ensuring that PLWHA have access to comprehensive care. NASHP interviewed Medicaid and RWHAP officials in 14 states about successful coordination efforts. […]
Before a client sits down with a navigator or in-person assistor to enroll in a new health coverage option, that client will see, hear, or read multiple advertisements or news articles about health insurance exchanges or expanded access to Medicaid. Many clients will first contact a call center with questions before being directed to additional […]
Health care reform legislation has spurred efforts to develop integrated health care delivery systems that seek to coordinate the continuum of health services. These systems may be of particular benefit to patients who face barriers to accessing care or have multiple health conditions. But it remains to be seen how safety-net providers, including community health […]
The purchasing power of Medicaid can be a significant policy lever for promoting early childhood home visiting program quality and improving maternal and child health outcomes. With support from the Pew Home Visiting Campaign, NASHP conducted a literature review and environmental scan of state policies and practices, and facilitated a national expert panel to identify […]
The passage of the Affordable Care Act (ACA) has the potential to relieve some of the infrastructure challenges facing the health care delivery system. The law includes funding to support and extend the health care workforce, and to promote efficient, high quality care. Some of the ACA’s provisions are targeted specifically toward meeting the extensive […]
A 2011 Commonwealth Fund poll found that 98 percent of responding national health care opinion leaders believe that traditional safety net providers will still fulfill critical roles after implementation of the ACA. With the support of The Commonwealth Fund, NASHP formed the National Workgroup on Integrating a Safety Net into Health Care Reform Implementation to […]
The Affordable Care Act’s signature goal of expanding coverage brings with it a projected increase in demand for health care services. States have long been concerned with improving the capacity of the health care workforce, and are taking steps to meet this increased demand. In states including Washington and Maryland, committees are meeting regularly to […]
On November 4, the National Health Policy Forum hosted a discussion to examine the roles thathealth practitioner scopes of practice – state regulations that define the activities that a health professional may perform – play in determining patient access to primary care providers. Four speakers provided information about the current situation, the views of various […]