The Childhood Asthma Leadership Coalition and Green & Healthy Homes Initiative have collaborated on this brief explaining the Pay for Success programs, which incentivizes changes to homes in order to reduce the risk of asthma among children and families. Read the full brief here.
Despite notable advancements in children’s health care over the last two decades, children of color continue to experience a range of health disparities when compared with white children. Over the last two decades, Medicaid and the Children’s Health Insurance Program (CHIP) have played a critical role in providing a broad range of services to children in low-income families, from basic screenings and medical and dental services, eyeglasses and hearing aids, to language interpretation, transportation, and chronic disease management services. Working together, these programs have cut the numbers of uninsured children in half, with the greatest improvement in coverage rates for children of color.
Social impact bonds bring private and public sectors together to solve problems of shared concern. The Childhood Asthma Leadership Coalition is working to uplift social impact financing approaches designed to tackle chronic asthma, working to demonstrate the dual social and financial benefits of up-front investment in asthma management and prevention.
This issue brief summarizes case studies from three promising social impact financing initiatives aimed at improving asthma management.
On February 6, 2013, the Childhood Asthma Leadership Coalition hosted a webinar entitled: Developing Mechanisms for Sustainable Funding of Community Asthma Management. The webinar examined new and ongoing efforts underway in Massachusetts to address the burden of childhood asthma through delivery system innovations and new reimbursement models that promote community-based interventions to reduce asthma triggers in homes and community settings.
To continue the dialogue started during the webinar, the Coalition has also released a white paper entitled Using Medicaid to Advance Community-Based Childhood Asthma Interventions: A Review of Innovative Medicaid Programs in Massachusetts and Opportunities for Expansion under Medicaid Nationwide. The attached white paper:
About the Series: In February 2010, the George Washington University School of Public Health and Health Services, Department of Health Policy released Changing pO2licy: The Elements for Improving Childhood Asthma Outcomes. The report provided a comprehensive look at childhood asthma prevalence, risk factors and disparities; described best practices for clinical care and disease management; and, outlined evidence-based policy recommendations to improve the prevention, diagnosis, treatment, and long-term management of childhood asthma.
The report identified five essential elements for improving asthma outcomes in children:
Following the release of these recommendations, Congress passed the Affordable Care Act (ACA), emphasizing expanding access to private health insurance and Medicaid and reforming the healthcare delivery system to improve quality. The ACA includes provisions to eliminate health care disparities, strengthen public health programs and access to preventive services, invest in expanding and improving the health care workforce, and encourage care coordination and disease management.
Many ACA provisions correspond to recommendations in the Changing pO2licy report and have the potential to profoundly impact the prevention and treatment of childhood asthma.
This paper focuses on one of the five essential elements for improving asthma outcomes in children: stable and continuous health insurance. The accompanying chart describes ACA provisions and implementation activities that could be activated to help millions of children most at risk for asthma.
This paper focuses on one of the five essential elements for improving asthma outcomes in children: the ability to continuously exchange information and monitor progress, using health IT. The accompanying chart describes ACA provisions and implementation activities that could be activated to help millions of children most at risk for asthma.
This paper focuses on one of the five essential elements for improving asthma outcomes in children: learning what works and increasing knowledge. The accompanying chart describes ACA provisions and implementation activities that could be activated to help millions of children most at risk for asthma.
This paper focuses on one of the five essential elements for improving asthma outcomes in children: high-quality clinical care, case management and asthma education. The accompanying chart describes ACA provisions and implementation activities that could be activated to help millions of children most at risk for asthma.
This paper focuses on one of the five essential elements for improving asthma outcomes in children: reducing asthma triggers in homes and communities. The accompanying chart describes ACA provisions and implementation activities that could be activated to help millions of children most at risk for asthma.
In February 2010, the George Washington University School of Public Health and Health Services, Department of Health Policy (GWU) released Changing pO2licy: The Elements for Improving Childhood Asthma Outcomes (Changing pO2licy). The report was released with support from the Merck Childhood Asthma Network (MCAN) and the RCHN Community Health Foundation and provides a comprehensive look at childhood asthma prevalence, risk factors and disparities; describes best practices for clinical care and disease management; and outlines evidence-based policy recommendations to improve the prevention, diagnosis, treatment, and long-term management of childhood asthma.
The report identified five essential elements for improving asthma outcomes in children, including: (1) stable and continuous health insurance; (2) high quality clinical care, case management, and asthma education available for all children, including those who remain ineligible for insurance coverage; (3) the ability to continuously exchange information and monitor progress, using health information technology (HIT) as much as possible; (4) reducing asthma triggers in homes and communities; and (5) learning what works and increasing knowledge. Please see the attached document for further information on this landmark report.
