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Sillerman Center for the Advancement of Philanthropy;
Social Justice Funders Spotlights present stories of innovative, effective social justice philanthropy in action. Each spotlight focuses upon a grantmaker and a grantee.
Headwaters FoundationThis spotlight is part of Sillerman's Participatory Grantmaking project.
Issue: Managed care organizations (MCOs) are integral to Medicaid payment and delivery reform efforts. In states that expanded Medicaid eligibility under the Affordable Care Act, MCOs have experienced a surge in enrollment of adults with complex needs.
Goal: To understand MCO experiences in Medicaid expansion states and learn about innovations related to access to care, care delivery, payment, and integration of health and social services to address nonmedical needs.
Methods: Interviews with leaders of 17 MCOs in 10 states that have seen large Medicaid enrollment growth and have undertaken payment and delivery reforms.
Findings and Conclusions: MCO leaders regard their ability to enroll and serve the Medicaid expansion populations as a signal achievement. They have focused on identifying and helping high-risk populations and addressing the social determinants of health. MCOs are testing value-based payment strategies that link payment with performance and are increasingly focused on engaging patients in their care. Leaders report common challenges: setting appropriate payment rates; managing members whose needs differ from traditional Medicaid beneficiaries; ensuring access to specialty care; and effectively implementing payment reform and practice transformation. All point to the need for a stable policy environment and a strong working relationship with state Medicaid agencies.
Healthy Children Healthy Nations;
This report summarizes findings from a series of convenings, interviews, and research aimed at understanding how best to support early childhood development and nutrition for young Native children in Minnesota.
The story of the early childhood coalitions organized by the six Minnesota Initiative Foundations in Greater Minnesota.
Robina Institute of Criminal Law and Criminal Justice;
In Minnesota, a "gap" exists in the justice system for defendants with mental illness. Defendants in criminal cases are found incompetent to stand trial, yet do not meet the higher standard for civil commitment. Commitment is the only way to receive competency restoration treatment, so individuals who do not meet the standard are unable to resolve their criminal cases or to receive treatment. The Robina Institute conducted research see how other states address incompetency.
This report aims to share and illustrate the ways we invest in the Native nations and people in our region. One of our guiding values is to seek to do more good every year. This report will help us look internally at how we can do more to make the region better for everyone, including the Indigenous people of this land
National Academy for State Health Policy;
Due to mounting evidence that community health workers (CHWs) can improve health outcomes, increase access to health care, and control medical costs, states are increasingly engaging their CHW workforce to replicate those successes at the state level. However, the policies and programs that regulate and pay for CHWs differ dramatically across states, and states facing difficulties advancing CHW initiatives can gain insights from the experiences of other programs across the country.
The National Academy for State Health Policy (NASHP) recently up-dated its State Community Health Worker Models Map, and is currently identifying innovative state strategies that have helped CHW initiatives meet their goals. This case study, which explores payment models for CHWs conducting home visits in Minnesota, New York, Utah, and Washington State, is the second in a series of products that highlight those CHW program strategies.
Carsey School of Public Policy at The University of New Hampshire;
Funding for the Children's Health Insurance Program (CHIP)—the federal program that extends health insurance coverage to low income children not eligible for traditional Medicaid—officially expired on September 30, 2017. Given that states implement CHIP in different ways, states will run out of funds at different times, with twelve states exhausting their federal allotment by the end of 2017 (see Figure 1).
Several of these states are populous, and together are home to nearly 9 million—or 30 percent—of the nation's publicly insured children, and to one in five publicly insured rural children. Lawmakers are discussing how to fund reauthorization, and in the meantime, children may become uninsured or switch to more expensive and less comprehensive alternate plans in the interim. As states begin planning for these transitions, legislators should consider both administrative costs and potential effects on family health and finances.
With the support of the Women's Foundation of Minnesota and the Minnesota Department of Health, Wilder Research evaluated the implementation of the Safe Harbor Law and No Wrong Door model, which address how children who are exploited for commercial sex are treated.
Chicago Council on Global Affairs;
This report focuses how immigrants have helped offset native-born population loss and revitalized an aging workforce by examining 46 Midwestern metro areas as a refresh of a similar study published by the Chicago Council on Global Affairs in 2014. Metro areas are a useful barometer by which to measure the impact of immigration because the economies of central cities and their suburbs are tightly connected and because large immigrant communities are found in both central cities and suburbs of metro areas. Also, the extent to which immigration matters to metro-area economies heightens the importance of immigration as an issue and raises the stakes for immigration reform.
Great Lakes Higher Education Guaranty Corporation (an affiliate of Great Lakes Higher Education Corporation & Affiliates);
At Great Lakes we work to make postsecondary degrees, credentials and certificates accessible to as many students as possible. Specifically, we focus our philanthropy on helping those who traditionally have the most to gain from college, but who often have the least support in getting there: students from low-income homes, students of color and first-generation students.
This Report highlights our belief that overcoming barriers to graduation requires engaging both students and colleges—with success being their shared goal. In it you'll find details on many of the 50 grants we launched in 2016, several key findings and our goals for the coming year.