Sending Big Sugar Packing – One Community’s Story

Join us for our next webinar

May 13th 12 NOON – 1 PM

Sending Big Sugar Packing – One Community’s Story

Presenter:  Glenn Schneider, Chief Program Officer, Horizon Foundation

 

 

 

Brief description of the presentation: Sugary drinks are the largest single source of added sugar and calories in our diets today. Having just one sugary drink a day (e.g., soda, fruit drinks, sports drinks, energy drinks, and added sugar waters/teas) significantly increases your risk of diabetes, heart disease, obesity, and other diseases. What can communities do to set a new path forward where sugary drinks become an occasional treat instead of a significant cause of disease and death? Sugary drink sales in Howard County, Maryland are decreasing 2-3 times faster than the national average. This webinar will discuss how policy and systems changes combined with community engagement and media approaches are leading to better health outcomes in Howard County.

About the Presenter:  Glenn Schneider, Chief Program Officer, Horizon Foundation

Glenn is a passionate, strategic, and skilled public health leader with extensive experience managing successful campaigns that improve lives. Through data-driven programs and campaigns, advocacy efforts, community organizing and partner collaborations, Glenn and his teams strive to advance policy and systems changes – known precursors to better community health.  At the Horizon Foundation, Glenn leads a talented program team that oversees diverse community initiatives such as its health equity work, Howard County Unsweetened, Sugar-Free Kids Maryland, Support Human Campaign, Speak(easy) Howard, Streets for All, and the Mental Health Film Festival just to name a few.  These initiatives are working to improve health. For example, Howard County Unsweetened and Sugar-Free Kids Maryland have successfully advocated for policies that make healthier food and drinks more widely available at parks, schools, government offices, community organizations, and child care facilities. Nationally published peer-reviewed research found that local sugary drink sales have declined by 20 percent in Howard County due to these campaigns

Prior to joining the Foundation, Glenn was a national consultant, executive director, community organizer, grassroots strategist, and policy director in the government and nonprofit sectors. His work resulted in more than 35 new state and local laws and regulations across the nation that increased access to health care, protected the public’s health, raised tobacco prices, created smoke-free public places, and cut youth access to tobacco.  Locally, Glenn spearheaded efforts to make all Howard County public places smoke-free, pass the nation’s first regulations prohibiting youth access to indoor tanning beds, and make healthy food and beverages more widely available on government property, school property, and in child care facilities. He was also a co-creator of the Healthy Howard Health Plan, a nationally-acclaimed health care access program for the uninsured.  Glenn is a nationally recognized speaker and trainer and his work is featured in the book The DeMarco Factor: Transforming Public Will into Political Power. Glenn has an MPH from the University of Pittsburgh and lives with his wife Janice and their two sons, Eric and Evan.

This webinar will be recorded and archived on the event webpage, following the live webinar.

Click here to register for this webinar

ADDITIONAL WEBINAR SERIES INFORMATION:

Cost: Free!

Registration:  Click on the registration links above to register for each webinar.

Registration is limited to the first 100 registrants.

The vClinician: Mom and Babies Opioid User Disorder App

JBS International is a proud Phase 1 and Phase 2 winner of the Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau Grand Challenge: Addressing Opioid Use Disorder in Pregnant Women and New Moms. Their response to HRSA’s Challenge provides a mobile decision-support application (i.e., vClinician: M&B OUD [Moms and Babies Opioid Use Disorder]) or “virtual clinical guide” to health care providers and educators in diverse medical settings.

You are invited to utilize this app where content focuses on one the following:

To download this free mobile app, go to the App Store (for iPhones) and Google Play Store (for Android phones) and search for vClinician: M&B OUD. For more information, please download vClinician: M&B OUD App Guide in the link.

Children’s Crisis and Referral Line

The Bureau for Behavioral for Behavioral Health (BBH) has funded a new Children’s Crisis and Referral Line to interrupt behavioral health crises and connect families and youths with behavioral health services in their communities.

Families and youths can call, text, or chat the Children’s Crisis and Referral Line 24 hours a day, 7 days a week, at 844HELP4WV or 844-435-7498.

The Children’s Crisis and Referral Line is an added service of the HELP4WV substance use and mental health support line operated by First Choices Services.

Click to read the press release.

CMS Provides Transparency on Cost and Quality in State Medicaid and CHIP Programs

2020 Scorecard continues to build upon a new era of accountability in Medicaid and Children’s Health Insurance Program

Today, the Centers for Medicare & Medicaid Services (CMS) released the third annual update to its Medicaid and Children’s Health Insurance Program (CHIP) Scorecard. The Scorecard is the signature Medicaid accountability initiative that highlights state and federal performance on the administration and health outcomes of the Medicaid and CHIP programs that collectively account for approximately $600 billion in annual spending and serve over 74 million Americans. For the first time, the Scorecard now provides identified per capita spending data across all states, highlighting variation in program costs alongside the quality and performance data. First released in 2018, the Medicaid and CHIP (MAC) Scorecard is a key part of President Trump’s efforts to ensure greater transparency and accountability of the nation’s largest health coverage programs.

“From the beginning of his administration, President Trump has made giving states more flexibility to provide high quality accessible care for our most vulnerable citizens on Medicaid and CHIP a priority,” said Administrator Seema Verma. “At the same time, we also recognize that with greater autonomy must come greater accountability. The Medicaid and CHIP Scorecard provides unprecedented transparency on cost and quality across state Medicaid and CHIP programs.”

This year’s release builds on the success of the previous Scorecards with a variety of updates and improvements for users, including the debut of a new way to view state-specific data on the Medicaid.gov State Profile “Quality of Care” section.  CMS has also improved the overall design and navigation across the 2020 MAC Scorecard to enhance the user experience.

The Scorecard includes healthcare quality measures of asthma medication management for children and adults as well as a measure of follow-up care for adults after an emergency department visit for mental illness. It also contains new administrative accountability measures including CMS and state approval times for managed care contract reviews; and CMS approval times for enhanced federal funding to support states’ eligibility, enrollment and information technology systems.

The 2020 Scorecard provides per capita expenditure data across all states. For the 2018 T-MSIS based per capita expenditure data, seventeen states had a high level of data usability, and an additional eleven states showed a moderate level of data usability.  The remaining states fell into the category of having a low level of data usability. The median per capita expenditures, based on CMS calculations, for all states in 2018 is $8,126, with a range of $1,807 in Puerto Rico to $14,387 in North Dakota.[1]

This year, new data were added to the MAC Scorecard’s National Context page.  For example, these new data show the percentage of each state’s population that is enrolled in Medicaid, which ranges from 9.0% to 36.3 % and that nationally, about half of those enrolled in Medicaid and CHIP are children. The National Context page also has new data on the national percentage of beneficiaries enrolled in Medicaid and CHIP by eligibility group and the national rate of improper payments in Medicaid and CHIP.

Further, the national context now provides information on the percentage of Medicaid beneficiaries currently enrolled in Medicare (i.e., dually eligible beneficiaries); the percentage of dually eligible beneficiaries in programs that integrate the delivery of Medicare and Medicaid benefits; and the approval status for states’ transition plans for home and community-based services. For example, nearly half of all states (23) have a Medicaid population where 11.8%-24.2% are dually eligible beneficiaries and 36 states now enroll dually eligible beneficiaries in integrated care programs. The addition of these new data in the Scorecard help to further underscore the importance of understanding the dually-eligible population’s role in the Medicaid program.

CMS continues to engage stakeholders in identifying enhancements to the MAC Scorecard, including receiving input from Medicaid agencies through a collaboration with the National Association of Medicaid Directors.

CMS analyzed trends in median state performance on a subset of Child and Adult Core Sets measures that are included in the MAC Scorecard’s State Health System Performance pillar. Under this pillar, five states reported all measures in Federal Fiscal Year (FFY) 19: Connecticut, Massachusetts, New Hampshire, Tennessee and Washington. Across all states that reportedperformance improved from FFY 2017 to FFY 2019 on several measures, suggesting progress in the quality of care provided to Medicaid and CHIP beneficiaries. These measures include:

  • Well-Child Visits in the First 15 Months of Life (performance improved from 60.2% to 65.1%)
  • Adolescent Well-Care Visits (performance improved from 44.9% to 50.7%)
  • Immunizations for Adolescents (performance improved from 74.5% to 79.2%)
  • Percentage of Eligibles Who Received Preventive Dental Services (performance improved from 48.2% to 49.0%)
  • Comprehensive Diabetes Care: Hemoglobin A1c Poor Control (performance improved from 40.9% to 38.3%). Lower rates are better for this measure.

Overall, under the State Health System Performance pillar, states that reported for FFY19 have opportunities to improve in measures such as: emergency department utilization rate for children and adolescents; the percentage of children ages 3 to 6 who had at least one well-child visit with a primary care provider; the percentage of women delivering a live birth who had a timely postpartum care visit; and inpatient hospital admission rates for short-term complications of diabetes (e.g., diabetic ketoacidosis, hyperosmolarity) in adults ages 18 and older.

The State and Federal Administrative Accountability pillar measures show, for example, that the percentage of State Plan Amendments and 1915 waivers approved in within the first 90 day review period has increased between 2016 and the second quarter of 2020.

When viewing data in the MAC Scorecard, CMS would caution against making direct state-to-state comparisons based solely on data presented. For example, for measures drawn from Child and Adult Core Set, reporting methods can vary among states. States have access to different data on populations covered under fee-for-service as compared to populations covered under managed care. This variation in data availability can impact measure performance. Users should review the state-specific measure notes to better understand states’ reported rates. CMS is committed to working with states to improve standardized measure calculation and reporting which will increase the ability to do direct state-to-state comparisons in the future.

CMS is committed to working with states to improve standardized measure calculation and reporting on measures across the Scorecard. As with other measurement-focused initiatives, CMS offers states technical assistance and quality improvement opportunities to assist states in collecting and reporting measures displayed in the Scorecard, as well as sharing best practices to support improved state performance.

To view the 2020 MAC Scorecard, please visit: https://www.medicaid.gov/state-overviews/scorecard/index.html  

For more information pertaining to the 2020 MAC Scorecard, please visit:

https://www.medicaid.gov/media/file/2020-medicaid-chip-scorecard-factsheet.pdf

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