As the COVID-19 pandemic nears its third anniversary, what is the state of vaccination among adults in the United States?
Rapid development and deployment of COVID-19 vaccines have saved hundreds of thousands of lives in the U.S. and greatly reduced serious illness. Yet uptake of COVID-19 boosters has lagged. Meanwhile, millions of U.S. adults have missed routine, non-COVID vaccinations since the onset of COVID-19, exposing them to the risk of vaccine-preventable diseases.
Promising developments in adult vaccination include the elimination of patient co-pays for vaccinations covered by the Medicare prescription drug program. Novel vaccines will likely be introduced in the months ahead that protect against diseases for which no vaccine exists today, and new vaccine combinations could make vaccination more convenient for patients. But the U.S. continues to face an urgent need to restore and improve vaccination rates across all CDC-recommended vaccines, and to prepare for future pandemic threats.
Join us to explore the state of adult vaccination in the U.S. through the new web-basedVaccine Track program, and prospects for raising vaccination rates among Medicare beneficiaries and other U.S. adults. Our panel includes:
Kathryn Hashey, MA, MPH: Director of Vaccine Policy, GSK
Sean Gallagher: Senior Principal, IQVIA
Jewel Mullen, MD:Associate Dean for Health Equity and Associate Professor of Population Health and Internal Medicine, University of Texas Dell Medical School; Member, National Vaccine Advisory Committee
Accelerating and Enhancing Behavioral Health Integration through Digitally Enabled Care
August 2, 2022
The COVID-19 pandemic has exacerbated a behavioral health crisis across the country, acutely impacting children and teens. Despite the need for increased access to behavioral health services, there is a severe shortage of providers. In this webinar, the AMA and Manatt Health expand on their recentjoint reporton the opportunities and challenges of accelerating behavioral health integration (BHI) through digitally enabled care.
Gain actionable information and insights! Let experts guide your learning in covering:
Examples from innovators and researchers applying practical solutions for supporting the widespread adoption of BHI
The ways technology can be used to advance BHI adoption and impact, including a review of both opportunities and limitations
Solutions for addressing the gaps hindering BHI adoption
A guide to demonstrating value by applying the AMA’s Return on Health Framework to digitally enabled BHI
Speakers:
Jared Augenstein,Director, Manatt Health
Lori Evans-Bernstein,CEO and Co-founder, Caraway
Chris Botts,Manager, Care Delivery/Payment, AMA
Virna Little,PsyD, LCSW-r. COO and Co-founder, of Concert Health
Wendy Warring,JD, President and CEO, Network for Excellence in Health Innovation
Tele-mental Health Care Among Medicaid Enrollees
June 22, 2022
NEHI hosts a 90-minute webinar to discuss findings from a PCORI-funded multi-stakeholder convening we conducted to develop recommendations for future research to advance the effective use of telemental health among Medicaid enrollees.
We feature participants from the three stakeholder groups represented at the convening: providers, payers, and patients or individuals with lived experience of mental or behavioral health conditions. These panelists are joined by industry experts in telehealth.
Panelists include:
Jared Augenstein – Director, Manatt
Katia Canenguez, Ph.D., EdM – Pediatric Psychologist, MGH; Clinical Researcher, MGH Mongan Institute; Instructor, Harvard Medical School
Heather Carter – Administrator, Health Care & Rehab Services, Hartford VT
Allison Frank – Member, Genesis Club, Worcester MA
Heather Meyers, MBA–Director, Virtual Care, Innovation and Digital Health Accelerator, Boston Children's Hospital
Tamara Lundi, MHA – President & CEO, Community Healthlink
Elizabeth Ross, MD – BH Medical Leader, Office of the CMO, Point32Health
We will present a summary of the recommendations generated from the convening, which will be followed by a discussion on i) convening participants’ experience of sharing perspectives with other stakeholder groups in developing the recommendations, and ii) panelists’ comments on the recommendations.
Given the diversity of expertise of our panelists and the opportunity for audience members to pose questions, we anticipate a rich discussion.
NEHI Member Briefing: Health Equity, Data, and Value-Based Payment
May 26, 2022
Can health equity goals become part of the movement towards value-based payment in U.S. health care?
This NEHI member roundtable highlights ongoing efforts to make health equity a vital part of value-based care. The discussion centers on data-driven initiatives launched by NEHI members to close health disparities and the goals that public and private sector payers have outlined for achieving equity through payment reforms.
Our discussion panel includes Dr. Nora Dennis, Lead Medical Director for Behavioral Health and Health Equity at Blue Cross Blue Shield of North Carolina; Christina Severin, MPH, President & CEO at Community Care Cooperative; and Melissa Sherry, Ph.D., MPH, Vice President, Social Care Integration at Unite Us.
Addressing Barriers Associated with Increasing Diversity and Inclusion in Clinical Studies
Factors affecting participation: Socio-economic background, language, trust, and accessibility
Starting points in addressing barriers
Examples of successfully implemented programs that increased trust and participation from diverse groups in trials
Issues encountered when addressing these barriers
Smarter Health Care Coalition 2022 Virtual Policy Summit
April 7, 2022
NEHI's Vice President of Policy Research, Tom Hubbard, participated in the panel discussion "Obesity Care:Payment and Benefit Design Innovations to Improve Prevention and Treatment of Obesity."
In contrast to a one-size fits all cost-sharing approach that could reduce the use of high-value services and worsen health disparities as it relates to obesity, there is an important opportunity for V-BID to address this growing chronic illness.Recent studies have shown that reducing financial barriers to improve medication adherence in particular can have asignificant impact on patient-centered outcomes for those with obesity. This panel explored a range of V-BIDapproaches focused on addressing obesity as well as current health equity implications.
2022 Innovators in Health
April 5, 2022
NEHI (Network for Excellence in Health Innovation) is committed to supporting and promoting health care innovation in all forms – from promising technologies that improve outcomes to promising programs and initiatives that promote better health. With its annual Innovators in Health Awards, NEHI recognizes pioneers whose efforts reflect NEHI’s own spirit of innovation and collaboration and whose work advances NEHI’s mission to improve the quality of health care for patients and their families.
NEHI’s Innovators in Health Awards recognizes individuals who have made lasting contributions to health and health careand inspired the community with their vision and achievements.
Next Steps Toward Patient Focus in Value Assessment and Payer Decision-Making
March 24, 2022
Decision makers – specifically payers and purchasers – are increasingly aware of the importance of accounting for patient and family experience and preferences, but the methods for doing so remain unclear. IVI and NEHI recently convened two stakeholder forums* to consider the complex issues of defining, sharing, and integrating patient data and insights into the decision-making process. This webinar highlighted key learnings and identified guideposts for action that evolved from both initiatives.
Attendees learned about progress in patient-centered value assessment and its impact on payer decision-making.
* Both convenings were partially funded through a Patient-Centered Outcomes Research Institute® (PCORI®) Eugene Washington PCORI® Engagement Award (#EAIN-21156 and #EAIN-1998).
2021
NEHI Member Briefing: Patients and Health Care Payers: How should they communicate with each other when novel therapies are approved?
December 1, 2021
The U.S. Food and Drug Administration has approved dozens of novel drugs recently and, by most estimates, dozens more will be approved in the years ahead. Many promise to be transformative, even curative therapies for serious unmet medical needs. Some also trigger complex and difficult decision-making on coverage by health care payers concerning the cost of new therapies and the depth of evidence supporting their use.
With support from the Patient-Centered Outcomes Research Institute (PCORI), NEHI convenes patient and health care payer leaders to identify principles of trustworthy communication regarding decision-making on coverage of novel therapies. In this briefing, NEHI Vice President of Policy Research Tom Hubbard presents results from the project, with comments from three experts:
Jennifer Graff, PharmD, Senior Director of Professional Affairs at the Academy of Managed Care Pharmacy
Annie Kennedy, Chief of Policy and Advocacy at the EveryLife Foundation for Rare Disease
Donna Messner, PhD
The NEHI project on patient-payer communication is supported by a Patient Engagement Award (Project EAIN 19981) from the Patient-Centered Outcomes Research Institute (PCORI).
NEHI Member Briefing on Prior Authorization: Can we all be happier?
December 15, 2021
In this briefing, hosted by NEHI President and CEO Wendy Warring, we report on the recommendations from our 9-month project on prior authorization. The project’s goal was to develop consensus for feasible reforms among members of a Steering Committee that included providers, payers, and representatives of employer and consumer organizations.
Most of the discussion, however, is devoted to hearing the perspectives on these and other suggested reforms from five individuals who have studied prior authorization and worked to improve it. Our experts come from different areas of the health care system, and we anticipate a lively, informative, and interesting discussion with the opportunity for audience members to pose tough questions.
Briefing participants include:
Kate Berry, Senior Vice President of Clinical Affairs and Strategic Partnerships, AHIP
David Culter, Committee Chair, Massachusetts Health Policy Commission
Heather McComas, Director of Administrative Simplification, American Medical Association
Sandhya Rao, Chief Medical Officer, Blue Cross Blue Shield of Massachusetts
Nikhil Sahni, Partner, McKinsey & Company
Psychedelic Medicine: Old Compounds, New Beginnings
July 14, 2021
In 2021, NEHI held a webinar on the new research surrounding psychedelic medicine. Below, we list the program participants and additional resources.
Mike Apkon, MD, PhD, MBA, President, Sand Street Advisors; NEHI Board Member
Joy Sun Cooper, Head of Commercialization and Patient Access, MAPS Public Benefit Corporation
Dan Grossman Managing Partner, Boston Consulting Group
Joseph del Moral, Co-Founder and Chief Executive Officer, Field Trip
John Krystal, MD, Chair and Chief of Psychiatry, Yale-New Haven Hospital
Neil Leibowitz, MD, JD, Chief Medical Officer, Beacon Health Options
Wendy Warring, JD, President and CEO, NEHI
Advancing Integrated Behavioral Health and Primary Care: Persistent Challenges and Potential Solutions
May 20, 2021
There is broad interest and significant investment in integrating behavioral and primary care among professional organizations, CMS, payors, and providers. Yet, despite over two decades of convincing evidence about its value and cost-effectiveness, the adoption of integrated behavioral health care is proceeding slowly. What are the barriers to scaling a solution that appears critical to addressing our nation’s behavioral health needs? What are the solutions we can implement today? What is the advocacy we need for tomorrow?
Join us for a discussion among individuals who have been working on integration issues for much of their careers to explore how to build on key areas of agreement to highlight and promote critical first steps.
Ben Miller, PsyD, Chief Strategy Officer, Well Being Trust
Diane Powers, MBA, MA, Co-Director, AIMS Center, University of Washington School of Medicine Department of Psychiatry and Behavioral Sciences
Matthew Press, MD, MSc, Physician Executive, Penn Primary Care and Medical Director, Primary Care Service Line, Penn Medicine
Ann Greiner, President, and CEO, Primary Care Collaborative
Lindsay Henderson, PsyD, Director of Psychological Services, Amwell
Mark Wenneker, MD, MPH, Principal, The Chartis Group
Hyong Un, MD, Chief Psychiatric Officer and Head of Product Innovation, Aetna Behavioral Health
Katherine Knutson, MD, MPH, Senior Vice President, United Health Group and CEO, Optum Behavioral Care
Nora Dennis, MSPH, MD, Lead Medical Director, Behavioral Health, BCBSNC
Wendy Warring, JD, President and CEO, NEHI
Virna Little, PsyD, LCSW-R, Co-Founder and Chief Operating Officer, Concert Health
Josh Israel, MD, Medical Director of Behavioral Health, Aledade, Inc.
Chris Molaro, CEO and Co-Founder, NeuroFlow
Carol Alter, MD, System Leader, Behavioral Health, Baylor Scott & White Health; Senior Fellow, Meadows Mental Health Policy Institute
2017
Health Care Without Walls Convening
May 10, 2017 - Kaiser Permanente Center for Total Health 700 Second St. NE Washington, DC
As the U.S. health care system shifts towards value-based care and payment, and technology enables everything from telehealth to collecting biometric data from smartphones, pushing health care out of institutions and closer to consumers and patients has become a priority for many health system stakeholders. Providers and payers recognize that new modalities of care delivery may not only address consumers’ desire for convenience but could also lead to greater access at reasonable costs. “Health care without walls” could hold out particular benefits for the frail elderly and other vulnerable populations; for underserved areas of the country; and for advancing population health strategies aimed at addressing not just health care needs, but social determinants and other upstream drivers of health.
There are already many forces and “enablers” pushing toward “health care without walls,” but also many obstacles. Put simply, if it were up to technology alone, “health care without walls” would be a reality today for much of health care; the fact that it does not underscore that barriers exist. Over 2017-2018, The Network for Excellence in Health Innovation (NEHI) will work to advance a research and thought leadership agenda and identify opportunities to overcome the obstacles.
NEHI Members and others are invited to attend this convening, hear from a select group of presenters, participate in small group discussions, and help refine the plan for the work streams that will carry out the project.
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