New Funding Available to Help Organizations Address Health Disparities for MCCs

Funding is imperative to address the emerging focus on health disparities.

On Jan. 11, the National Institutes of Health (NIH) posted a significant funding opportunity for communities and healthcare organizations to address health disparities for individuals with multiple chronic conditions (MCCs), saying that “the goal of the initiative is attainment of optimal treatment and health outcomes to advance healthcare towards health equity.”

You will want to search for PAR-22-092 online to find the direct link and details. Application submissions open on Feb. 17 and close on March 18. Application reviews and notifications will go out in July, and the earliest start date for projects will be Sept. 22.

This funding is imperative to address the emerging focus on health disparities, but also the growing research of individuals with MCCs being impacted by varying levels of care because of their race, poverty level, or geographic location. The number of people with MCCs continues to increase, and currently represents 42 percent of the U.S. population age 65 and older. The highest number of adults with MCCs are those living in poverty. In addition, the prevalence of MCCs is highest for minority populations ages 45 to 64.  

The U.S. Department of Health and Human Services (HHS) is specifically looking for ways to address MCCs for impacted populations by targeting their top concerns, which include:

  • Suboptimal care coordination;
  • The collaboration of primary and specialty care services;
  • Subspecialty referrals;
  • Patients’ limited understanding of coexisting conditions;
  • Polypharmacy; and
  • Payment or reimbursement issues for clinicians and healthcare systems.

They are hoping that applications will include a design centered around the Chronic Care Model (CCM), which emphasizes the importance of patient and healthcare team interactions to enhance patient self-management and healthcare provider decision support. This would be a great add-on project if your organization has a community needs assessment highlighting top issues in your area.

If your health system already provides transitional care management, chronic care management, or has primary care medical home designation, you are already ahead of the game and can likely just expand on existing services for your target populations. HHS also encourages any organizations that are in value-based care models to apply so they could expand on existing programs that may not have had the necessary funding or resources originally.

Here are some examples of programs that may be helpful in your community. I would consider projects that would help patients obtain health insurance if they are uninsured, cover out-of-pocket expenses such as vital medications that patients often have trouble affording, provide support for transportation to needed appointments, and maybe offer greater integration with primary care and cardiology for PT/INR clinics. It could be something as simple as sending home a meal package for your patients diagnosed with malnutrition who recently had a significant hospitalization; the food in their fridge will likely be bad by the time they discharge home.

Finally, you could pull data on your top DRGs w/MCC capture to look at the diagnoses that are having the greatest impact on your community.   

Programming Note: Listen to Tiffany Ferguson’s live reports on SDoH Mondays on Monitor Mondays, 10 Eastern.

Facebook
Twitter
LinkedIn

Tiffany Ferguson, LMSW, CMAC, ACM

Tiffany Ferguson is CEO of Phoenix Medical Management, Inc., the care management company. Tiffany serves on the ACPA Observation Subcommittee. Tiffany is a contributor to RACmonitor, Case Management Monthly, and commentator for Finally Friday. After practicing as a hospital social worker, she went on to serve as Director of Case Management and quickly assumed responsibilities in system level leadership roles for Health and Care Management and c-level responsibility for a large employed medical group. Tiffany received her MSW at UCLA. She is a licensed social worker, ACM, and CMAC certified.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Decoding 2025 OPPS Charge Capture and Coding Complexities: Strategies for Success

Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.

January 29, 2025
Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Enhancing Outcomes with CDI-Coding-Quality Collaboration in Acute Care Hospitals

Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.

November 21, 2024
Comprehensive Inpatient Clinical Documentation Integrity: From Foundations to Advanced Strategies

Comprehensive Outpatient Clinical Documentation Integrity: From Foundations to Advanced Strategies

Optimize your outpatient clinical documentation and gain comprehensive knowledge from foundational practices to advanced technologies, ensuring improved patient care and organizational and financial success. This webcast bundle provides a holistic approach to outpatient CDI, empowering you to implement best practices from the ground up and leverage advanced strategies for superior results. You will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.

September 5, 2024

Trending News

Featured Webcasts

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

Navigating the 2025 Medicare Physician Fee Schedule: Key Changes and Strategies for Success

The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.

January 21, 2025
Patient Notifications and Rights: What You Need to Know

Patient Notifications and Rights: What You Need to Know

Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.

December 5, 2024
Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Navigating the No Surprises Act & Price Transparency: Essential Insights for Compliance

Healthcare organizations face complex regulatory requirements under the No Surprises Act and Price Transparency rules. These policies mandate extensive fee disclosures across settings, and confusion is widespread—many hospitals remain unaware they must post every contracted rate. Non-compliance could lead to costly penalties, financial loss, and legal risks.  Join David M. Glaser Esq. as he shows you how to navigate these regulations effectively.

November 19, 2024
Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Post Operative Pain Blocks: Guidelines, Documentation, and Billing to Protect Your Facility

Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.

October 24, 2024

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24