by Scout Reporting from Tobacco Research Network on Disparities (TReND) Meeting, October 27, 2010
At the TReND meeting I also got to see a fascinating report on what health care reform means for disparity populations from Cara James, at the Kaiser Family Foundation. Did you know they have a whole project analyzing health care reform for disparity populations? (caveat: it is currently defined as race/ethnic minorities). See their website for more community level info on HCR in general, and see the full briefing paper Cara developed on the points below here. But let me jot down a few of the notes from her presentation as best as I can.
Major Changes from HCR?
- building healthcare coverage in the current system
- expand medicaid
- individual and employer mandate to have health care
- creation of health insurance exchange
- lots of regulatory changes to the private market of insurance offerings
- Workforce changes – expands existing health care workforce
- Workforce changes – increased use of PAs and NPs (near-docs).
- Workforce Changes – increased recruitment from underserved communities (because they are the only people who really go back and work in them apparently)
Big ways HCR will affect disparity work?
- change in required data collection (tho this doesn’t include LGBT in the statutes, could include in practice though)
- increased cultural competency requirements
- increased loan repayment and recruitment strategies for underserved minority in health care workforce (LGBTs have sometimes been considered part of this cadre, sometimes not)
- requirement to establish office of minority health at each HHS agency, and upward move of the NIH Office of Minority Health and Health Disparities to a new (fancier) Institute of Minority Health and Health Disparities
General HCR changes that’ll affect our environment?
- lots more quality improvement standards
- lots more health information technology requirements (including large push to get docs onto electronic medical records)
- increased money for health centers
But who is left out?
- undocumented immigrants (argh!)