A seat at the table: Influencing state health care delivery system reforms & aligning internal HCH operations

HCH providers understand health in a broad context and have evolved a model of care designed to recognize how social determinants of health are critical factors to achieving better outcomes and greater stability. As states are implementing changes to the larger health care environment and increasingly acknowledging factors such as housing, there are now new opportunities to achieve two goals: to leverage our knowledge and experience to help state systems understand what’s needed to truly reform health care, and to align internal HCH operations with state-wide goals (including quality of care outcomes measures). While it has always been important to maintain relationships with state Medicaid, MCO plans, hospitals, the public health and criminal justice communities, grant makers, and housing providers, new financing methods and other factors are now changing traditional dynamics and offering new opportunities to bolster the health, housing, and social services framework. This is happening in a variety of states, regardless of each state’s decision on Medicaid expansion. This PCI will feature presentations from HCH leaders in this work, state partners, and national experts who will share lessons learned from these experiences, the common features of key initiatives that can be replicated across states, and strategies for leveraging a seat at the state policy table (and maximizing your role once there).