News

Senior project manager Deana Smith to lead roundtable at American Society of Aging Conference

Deana Smith

Deana SmithCHRT’s senior project manager Deana Smith will lead a roundtable discussion at the American Society of Aging Conference, New Orleans, April 11-14, 2022. This conference is the largest multidisciplinary conference on aging in the U.S. This year’s theme is “Advancing Economic Security.”

Smith’s presentation, titled “Translating community-based work to payers for sustainability,” will describe early accomplishments in efforts to form a community integrated health network in Southeast Michigan. Smith will offer insights into the steps to take to be successful at both engaging with a health plan and functioning as a network.

Three lessons (handout) learned will be discussed:

  1. A backbone organization sets up the network for success. 
  2. Establishing a service delivery model is mutually beneficial to health payers and community-based organizations. 
  3. Strong partnerships with funders and health plans result in sustainable collaborations. 

In addition, this session is intended to foster an open dialogue around the challenges to this work, both at the community-based organization level and for payers and network lead entities.

Deana Smith is community initiatives senior project manager at CHRT. She is responsible for providing project management support to community-based collaborative initiatives and provides analytic support with a focus on the intersection between health care and supportive human services, with an emphasis on aging research and policy issues.

Bridge Michigan quotes Samantha Iovan on paramedics and insurance coverage.

Female health care worker filling out chart of adjacent older female

Samantha IovanBridge Michigan quoted Samantha Iovan, health policy senior project manager at CHRT, in their recent article, “Home-visit programs save money, free ERs. Many insurers don’t cover them.”

Paramedics do much more than taking patients to the ER. However, most medical insurances only cover trips to the ER. According to Iovan, that payment model fails to recognize 911 calls that can be safely treated in a patient’s home. While this makes up a small portion of 911 calls, that portion is still significant. Spending time in a patient’s home also allows community paramedics to identify other forms of social assistance that would help patients with health issues, and ultimately prevent more trips to the ER.

“If the community paramedic is going into a house for someone unable to manage a chronic condition, maybe that’s because they don’t have transportation. If they are food insecure, they can connect them to a food pantry. The paramedic can serve as this connection to community organizations that can help.”—Samantha Iovan, Health policy senior project manager, CHRT

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Nancy Baum’s Q&A with “State of Reform”

Notebook cover that reads Medicaid Eligibility

Nancy BaumNancy Baum is the health policy director at CHRT. In this Q&A, she discusses CHRT’s latest research projects, behavioral health legislation, and the future of Medicaid enrollment in Michigan.

Baum starts her interview by explaining how the end of the public health emergency might result in a very high disenrollment rate in Medicaid. 

“At the end of the public health emergency, states have 12 months where they can figure out exactly who is no longer going to qualify for Medicaid. During that time, there are opportunities for communities to come together to try to keep as many people enrolled as possible.”

She also further discusses Michigan’s behavioral health system and changes that are being proposed in the legislature. Social determinants of health and care services coordination are at the forefront of her current work at CHRT.

Baum also talked about projects that are related to addressing social determinants of health (SDOH).

“So we’ve had incentives in Michigan for physician organizations and health systems to begin to collect some data from patients about what their social needs are. We’re just starting to really put some shape around how we share that SDOH data and how we coordinate care between people in community-based organizations.””

Baum was asked by SOR about what she thinks of the specialty integrated plan legislation being discussed.

“There’s decades of evidence that show integrating physical and behavioral health care services for individuals really matters.”

 
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Medicaid expansion expert Dr. Renu Tipirneni to join CHRT Board of Directors

Dr. Renu Tipirneni

Dr. Renu TipirneniSince 2015, Dr. John Z. Ayanian has been an active and engaged member of CHRT’s Board of Directors. After two consecutive terms of service, Ayanian will step down from the role this month. CHRT is deeply grateful for Ayanian’s service and pleased to report that Dr. Renuka Tipirneni has been chosen to replace Ayanian on the board. 

“As a medical doctor and health sciences researcher with significant expertise in public policy, John has shared his tremendous expertise on the impact of health policy, practice, and payment reforms on patient health outcomes,” says Lynda Rossi, chair of the CHRT Board.

Ayanian also brought connections to hundreds of scientists at one of the world’s largest groups of health care and health policy researchers, the Institute for Healthcare Policy and Innovation (IHPI), which Ayanian directs at the University of Michigan.

“We’re so grateful for John’s many contributions to CHRT,” says Terrisca Des Jardins, CHRT’s executive director. “His knowledge, insights, and dedication have been fundamental to CHRT’s growth over the years.” 

Dr. Renuka Tipirneni is, like Ayanian, a medical doctor and health services researcher at the University of Michigan with significant expertise in public policy. Tipirneni’s research focuses on the impact of health care reform on low-socioeconomic status, racial/ethnic minority, aging, and other vulnerable populations. 

Tipirneni is a co-investigator on the evaluation of Michigan’s Healthy Michigan Plan Medicaid expansion and is the Co-Director of a collaborative quality initiative (CQI), the Michigan Social Health Interventions to Eliminate Disparities (MSHIELD). The new initiative is funded by Blue Cross Blue Shield of Michigan and is being launched in conjunction with the Health Equity Project, which aims to help Michigan counties reduce health disparities by addressing pressing social needs such as housing instability, food insecurity, and transportation . She is also a recipient of a National Institute on Aging career development award for examining the impact of insurance coverage expansion on near-retirement age adults. 

“Renu is known for translating research into evidence-based health policies and practices, and sharing lessons learned across states,” says Rossi. “We’re thrilled that she will bring this expertise to CHRT’s board.” 

“Renu is a CHRT Health Policy Fellow alumna, has collaborated with CHRT staff on survey work and numerous publications, and is working with CHRT on the newly launched Health Equity Project,” says Terrisca Des Jardins, executive director of CHRT. “The CHRT team and I are incredibly grateful for Renu’s long-standing relationship and willingness to take on this expanded role.”

“Partnering with CHRT has been a signature blessing of my career,” says Tipirneni, “from working on my first survey analyses, to learning with state policymakers in the CHRT policy fellowship, to many years later launching a statewide initiative to address social determinants of health in Michigan. I look forward to contributing to the next phase of CHRT’s activities and continued valuable impact on our communities and state.”

CHRT announces its new class of Health Policy Fellows

CHRT Health Policy Fellows

CHRT Health Policy Fellows

We’re pleased to announce that the 2022 cohort of CHRT Health Policy Fellows has been selected. These fellows will complete a four-month curriculum designed to build bridges between Michigan’s academic health researchers, nonprofit health leaders, and policymakers in Lansing. 

The 2022 CHRT Health Policy Fellows are:

Policymakers

  • Eva Cline – Policy Advisor, Michigan State House Republicans
  • Brianna Egan – Legislative Director, Michigan State Senator Winnie Brinks (D)
  • Joshua Lyman – Legislative Aide/Policy Services, Michigan State Representative Joe Tate (D)
  • Madeline Watts – Policy Advisor, Michigan State Senate Republicans
  • Marina Wyrzykowski – Legislative Analyst, Michigan Department of Health and Human Services

Nonprofit leaders

  • Elise Bur – Director, Center for Rural Health, Northern Michigan University
  • Kristie King – Association Executive, Southeast Michigan Senior Regional Collaborative
  • Madeleine McConnell – Addiction Specialist, Catholic Human Services
  • Kimberly Motter – Director of Quality and Training, Reliance Community Care Partners
  • Toluope Sonuyi – Founder/CEO/Health Director, Detroit Life Is Valuable Everyday (DLIVE)

Health services researchers

  • Steven Broglio – Professor of Kinesiology, School of Kinesiology, University of Michigan
  • Marisa Eisenberg – Associate Professor of Epidemiology, School of Public Health, University of Michigan
  • Claudia Figueroa-Romero – Assistant Research Scientist, Department of Neurology, University of Michigan
  • David Mendez – Associate Professor of Health Management and Policy, School of Public Health, University of Michigan
  • Kirsten Woody Scott, – Resident, Emergency Medicine, Michigan Medicine

More information about the CHRT Health Policy Fellowship can be found at https://chrt.org/fellowship/.

CHRT welcomes new staff with expertise in integration, communication and graphic design, program evaluation, and administration

Group picture of new CHRT team members

The Center for Health and Research Transformation is happy to welcome new staff with backgrounds in integration, graphic design, program evaluation, administration, and communication.

Sharon KimSharon Kim – Associate Director

Sharon Kim is an associate director at CHRT. She supports CHRT’s growing work focused on health equity and the integration of clinical and social services through interventions powered by information and technology.

Before joining CHRT, Sharon served as a Health Care Manager at Blue Cross Blue Shield of Michigan supporting a portfolio of value-based programs including the Physician Group Incentive Program (PGIP) Health Information Exchange (HIE), Telehealth, Innovations, Palliative Care Initiatives and the Hospital and Skilled Nursing Facility Pay for Performance HIE programs.

Her work with Blue Cross and Olympia Medical LLC, an independent physician organization serving providers in underserved areas of Southeast Michigan, has made her a passionate advocate for supporting primary care-driven team-based models of care and the roles of independent, advanced practice, and safety net providers.

Sharon serves on the Board of Directors of the Michigan Chapter of the Healthcare Information and Management Systems Society (HIMSS), a global advisor, thought leader, and member association committed to transforming the health ecosystem. She is also a member of the Patient and Caregiver Oncology Quality Council (POQC) supporting the goals of the Michigan Oncology Quality Consortium (MOQC).

Sharon has an MPA from Oakland University and a BA from the University of Michigan.

 

ID photo of Elisabeth PaymalElisabeth Paymal – Senior Communications Specialist and Designer

Elisabeth Paymal is a senior communications specialist and designer at CHRT. She supports communications and research dissemination for a variety of community health, policy, and research projects.

Elisabeth has extensive experience communicating about scientific research to a variety of audiences including policymakers, decision leaders, and the public. Prior to joining CHRT, she provided communications for national and global biodiversity and sustainability research, as well as for food security policy in Africa. More recently, she was the communication officer for the Center for RNA Biomedicine at the University of Michigan.

Elisabeth holds a bachelor’s in fine arts degree in graphic design from the University of Michigan and a master’s degree in clinical psychology from the University of the Sorbonne-Paris V.

 

Flavia Shuck – Senior Administrative AssistantFlavia Shuck

Flavia Shuck is a senior administrative assistant for the Center for Health Research Transformation (CHRT). She is responsible for supporting CHRT’s team with office operations and projects.

Prior to joining CHRT, Flavia was an administrative assistant at the Physician Organization of Michigan Accountable Care Organization (POM ACO). Flavia grew up in Brazil and also previously served as the public relations officer for the Governor of Curitiba.

Flavia received a bachelor’s degree in journalism and an MBA in Business Communication from Universidade Tuiuti do Parana.

 

Jonathan Tsao – Senior AnalystJonathan Tsao

Jonathan Tsao is a senior research and evaluation analyst at CHRT. He is involved with several projects that analyze complex data on major health policy issues including: access to care; cost, quality and effectiveness of care; behavioral health; social determinants of health; and consumer satisfaction.

Before joining CHRT, Jonathan was involved in program/data management, development, and fundraising for several health and social service initiatives in 

New York City. At Mount Sinai’s Institute for Advanced Medicine (IAM), he served as the Development Manager to sustain/increase funding for HIV care and prevention programs. Prior to IAM, he worked with the American Cancer Society and Chinese American Medical Society to organize cancer prevention education, community health screenings, and CME-accredited events on health disparities affecting Asian Americans. He further contributed to a multi-year project that identified barriers to Hepatitis B prevention and care among Asian communities. Recently, Jonathan completed a fellowship at The Data Incubator program, where he utilized machine learning to identify targeted strategies in reducing spread of COVID-19 and future pandemics.

 

Kristin Watkins – Health Policy InternKristin Watkins

Kristin Watkins is a senior at the University of Michigan, pursuing a Bachelor of Science (2022) with a concentration in Health Administration. As a CHRT intern, she supports the health policy team.

Kristin’s interest in public health and health policies are fueled by personal experiences of having children with complex medical needs. She is interested in learning more about health policy, particularly around equity issues in health care. In 2013, she formed a non-profit organization, Bella-Bags, to help families obtain medical products that were limited to patients who had complex health issues. Kristin also has experience as a volunteer coordinator with hospice and was part of a care team working with Medicare and Medicaid regulations and policies.

 

Eliana Whitehouse – Data Analyst InternEliana Whitehouse

Eliana Whitehouse is a CHRT intern working with the data analytics team on the development of a community integrated health network for older adults in southeast Michigan.

Eliana is currently a graduate student at the University of Michigan School of Social Work. She is in the Policy and Political Social Work pathway with an anticipated graduation in December of 2022. Her interest is in the development and implementation of preventative policies.

Before coming to Michigan, Eliana received her BA in psychology and studio art from Lawrence University (’21). Prior to CHRT, she worked in clinical trial research and project management.

Affordable Care Act sign-ups surge in Michigan, uninsured rate hovers just above 5%

Affordable Care Act

Samantha IovanMore Michiganders signed up for 2022 health insurance during the federal government’s recent open enrollment period for the Healthcare.gov marketplace than any year since 2017, and the estimated number of uninsured people in the state continues to hover just above 5%.

That was up nearly 14% from last year’s open enrollment numbers, which followed a shorter enrollment period that ended Dec. 15 in 2020, according to a federal report.

Policy experts attribute this surge to temporarily more generous premium and deductible subsidies that came with the $1.9 trillion American Rescue Plan relief package that President Joe Biden signed last March. This subsidy expansion will expire at the end of the year. 

The Detroit Free Press reported on the change, and quoted Samantha Iovan, senior health policy project manager at CHRT.

“That was definitely the biggest change and why we saw such high enrollment this year,” said Iovan. “Previously, you consistently would see people who were getting plans that were 20% of their household income. So that was a big change that made more people eligible for subsidies.”

About 50% of people nationwide are eligible for the Silver Plan, which Iovan noted many people consider to be the best coverage for the most affordable cost.

 
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Reflecting on the Washtenaw Health Initiative’s 10 year anniversary

10th Anniversary balloons

A new article in On the Ground Ypsilanti reflects on ten years of Washtenaw Health Initiative (WHI) accomplishments.

The Washtenaw Health Initiative is a voluntary collaboration to improve the health of low-income, uninsured, under-insured, and underrepresented people in Washtenaw County.

Co-sponsored by Michigan Medicine and the St. Joseph Mercy Health System and supported by the Center for Health and Research Transformation (CHRT), the Washtenaw Health Initiative helps 200+ members and stakeholders work together to:

  • Improve coordination across providers and integrate health and human services locally;
  • Support community-wide efforts to improve care and services for mental health, substance use, and other health issues impacting vulnerable populations;
  • Strengthen community-wide efforts to improve health equity by working closely with the Washtenaw County Health Department;
  • Increase insurance coverage among uninsured individuals and help those with Medicaid and Marketplace health plans maintain their coverage, use it more effectively, and find access to care;
  • Help local and regional health agencies reduce service redundancies and use resources more efficiently and effectively;
  • Connect community resources to health care organizations and to each other; and
  • Explore opportunities to partner with Livingston County health and human service organizations.

“When information is shared like that in a community, that community can only become better for it,” said Sharon Moore, WHI co-chair.

The article, written by Jaishree Drepaul-Bruder, discusses the WHI’s work to address the opioid epidemic, insure 100% of the population, and support healthy aging.

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We’re launching a community integrated health network for senior services in Southeast Michigan and beyond

food

Food in aluminum trays.The Center for Health and Research Transformation at the University of Michigan has recently received grants from the federal Administration for Community Living and the Ann Arbor Area Community Foundation to expand and enhance a local collaborative that provides medically tailored meals, and referrals to home and community-based services, to vulnerable seniors and individuals with disabilities.

The network, currently comprised of community-based organizations in Washtenaw County because the project was incubated in the Washtenaw Health Initiative, will soon expand to include community-based organizations in other counties in Southeast Michigan and beyond. 

In 2019, with funding from the Glacier Hills Legacy Fund at the Ann Arbor Area Community Foundation, a Vital Seniors Initiative was launched to facilitate systemic improvements to Washtenaw County’s senior services. The original Vital Seniors grantees were joined by Catholic Social Services of Washtenaw County, a leader in the local aging sector, to build a senior services network that now includes: 

healthy aging at home logoThe Center for Health and Research Transformation, as backbone to the Washtenaw Health Initiative, has provided strategic, administrative, and fiduciary support to this network, helping them identify shared values and goals, and chart a course to achieve them. With this assistance, network members worked together to design a Home Nutrition+ pilot to serve vulnerable adults in Washtenaw County during the COVID-19 pandemic.  

Priority Health partnered with this network, referring health plan members who were eligible for both Medicare and Medicaid, and who had been diagnosed with diabetes or heart disease, to the Home Nutrition+ pilot.

The model was built on evidence that links medically tailored meals to improvements in health and wellness and that shows that partnering with social service entities can lead to better health outcomes by expanding the care team into the community to meet often overlooked social needs. 

Pilot program participants received a health and social services needs assessment, home-delivered medically-friendly meals, and referrals to home and community-based services to meet additional needs. An external analysis by Sue Ann Savas of the University of Michigan School of Social Work found that the pilot program participants experienced improvements in overall health and wellness, reductions in falls and unnecessary hospitalizations, and more. 

With the Administration for Community Living and Ann Arbor Area Community Foundation grants, the collaborative will now be formalized as a Community Integrated Health Network (CIHN) and will seek to recruit additional community-based organizations beyond Washtenaw County. CIHNs work with health plans and health systems to deliver home and community-based services, such as medically-tailored meals. 

Through new partnerships, the health network and the Home Nutrition+ program will be expanded to reach vulnerable populations in additional counties with high levels of poverty and significant aging populations. 

“Building a Community Integrated Health Network is a win-win for seniors and other vulnerable adults,” says Deana Smith, project lead and program manager for the Washtenaw Health Initiative“Not only do seniors receive care from the community-based organizations they know and trust, but they can be assured that these organizations have the resources needed to continue providing services that will allow them to age comfortably and independently.”

“The Ann Arbor Area Community Foundation, through the Glacier Hills Legacy Fund, is proud to support this initiative with the Administration on Community Living,” says Chris Lemon, senior community investment officer for the foundation.  “Programs such as the Home Nutrition+ pilot are vital in addressing systemic gaps and in building solutions that prioritize our community’s most vulnerable members. We look forward to seeing how CHRT and its partners usher this work forward in Washtenaw County and beyond.”

Michigan’s Plan on Aging for 2021-2023 seeks to ensure that older adults are able to age in place when that is their desire. CHRT and the Vital Seniors cohort will support this statewide vision by helping network partners coordinate care for aging adults while addressing their unmet social needs.  

HRT’s 2021-2024 community care hub infrastructure development project was supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $381,001 with 76.5% ($291,564) funded by ACL/HHS and 23.5% ($89,437) funded by non-government source(s). The contents of this publication are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by ACL/HHS, or the U.S. Government.

Nancy Baum on Medicaid funding for Certified Behavioral Health Clinics (CCBHC)

Man speaks with psychiatrist

Man speaks with psychiatristState of Reform quoted Nancy Baum, health policy director for the Center for Health and Research Transformation (CHRT), in an article by Patrick Jones on funding for Certified Community Behavioral  Health Clinics (CCBHCs).

Published on October 19, 2021, the article reports on a press conference announcing that thirteen Michigan CCBHCs will be fully funded by Medicaid in the same way that community health centers are funded for physical care. The Michigan Department of Health and Human Services (MDHHS) will also allocate $26.5 million state and federal dollars to support all CCBHCs. The initiative will allow for a sustainable flow of funding to these CCBHCs, which will allow CCBHCs to plan for future expansions, reduce jail time for those in crisis, and create job security for providers. CCBHCs are integrated health centers that provide mental health, substance use treatment, and physical health to all, regardless of the ability to pay.

Baum shared many advantages of this more sustainable revenue source. CCBHCs will no longer have to chase grants, they may have an easier time hiring health professionals because of improved job security, and they will be able to plan for the future.

“When you have sustained funding, you can say ‘we are investing in you’ [to employees] and we [can] have predictable services for our community. Sustained funding allows for planning, and it allows for organizations to think about how [they] can do what [they] do even better, instead of spending all their energy just looking for sustainable funding.”

Baum believes the funding will allow CCBHCs to plan to expand services and create lasting, efficient teams.

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