Benefits, Challenges, and Opportunities in Addressing Medicaid Beneficiaries' Non-Medical Risks to Health: A Qualitative Analysis.
Journal
Journal of public health management and practice : JPHMP
ISSN: 1550-5022
Titre abrégé: J Public Health Manag Pract
Pays: United States
ID NLM: 9505213
Informations de publication
Date de publication:
07 Feb 2024
07 Feb 2024
Historique:
medline:
8
2
2024
pubmed:
8
2
2024
entrez:
8
2
2024
Statut:
aheadofprint
Résumé
North Carolina's Healthy Opportunities Pilots (HOP) is a Medicaid 1115 Waiver program that seeks to address nonmedical risks to health for Medicaid beneficiaries through multisector collaboration. Among other stakeholders, HOP involves collaboration between human services organizations that deliver interventions, network leads, which establish and oversee the human services organizations within a region of the state. To understand how employees at human services organizations and network leads prepared to deliver HOP services. Qualitative analysis of semistructured interviews. Interviews were conducted between April and June 2022. Interviews were recorded, transcribed verbatim, coded thematically, and analyzed using a conceptual model derived from the consolidated framework for implementation research. Organizations within North Carolina counties participating in HOP. Employees of human services and network lead organizations across all 3 HOP regions of North Carolina. The researchers interviewed 37 participants. Overall, organizations experienced benefits from HOP participation, including capacity-building resources, flexibility in allocating resources, and creating community-wide enthusiasm for addressing nonmedical risks to health. There were also key challenges. These included the time needed to build capacity, adjustments to the work processes and regulations inherent to multisector collaboration, geographic variation in availability of services to offer, and the difficulty of addressing different needs. Finally, participants recognized substantial opportunities that HOP presented, including membership in a more extensive network, exposure to a learning community, and a more sustainable funding source. The perspectives of individuals preparing to deliver HOP services offer important lessons for those developing and implementing large-scale programs that can address nonmedical threats to health.
Identifiants
pubmed: 38330375
doi: 10.1097/PHH.0000000000001874
pii: 00124784-990000000-00215
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
S. A. B. reports research grants from NIH, North Carolina Department of Health and Human Services, Blue Cross Blue Shield of North Carolina, and Feeding America, and personal fees from the Aspen Institute, Rockefeller Foundation, Gretchen Swanson Center for Nutrition, and Kaiser Permanente, outside of the submitted work. G. D. reports research grants from NIH, HRSA, the North Carolina Department of Health and Human Services, and the Robert Wood Johnson Foundation. M. E. D. reports research grants from NIH, NC DHHS, and Arnold Ventures, and service payments from the American Hospital Association and Wiley, related to journal editorships. K. B. F. reports grant support from the Centers for Medicare & Medicaid Services, NC DHHS, PCORI, NIH, The Duke Endowment, and the Oak Foundation. M. L. reports research grant support from North Carolina Department of Health and Human Services. All other authors report no potential conflicts of interest.
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