Health Literacy & Health Reform Opportunities and Challenges
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1 Health Literacy & Health Reform Opportunities and Challenges Frank Funderburk Director, Division of Research Office of Communications Centers for Medicare & Medicaid Services November 10, 2010
2 CMS Perspective Actively participated in development of the Action Plan for Health Literacy Recently developed and disseminated a toolkit for helping to make written materials useful and understandable a plain language and consumer-focused design orientation ( Social marketing supported by rigorous consumer testing plays a key role in achieving both health literacy and Affordable Care Act (ACA) goals
3 Many Relevant ACA Provisions Supporting informed consumer decision-making Standardization of prescription drug and insurance plan information Improving communications with diverse, low literacy patients Improving beneficiary-provider communication Encouraging use of new preventive benefits Promoting health care system innovation - Center for Medicare & Medicaid Innovation (CMMI)
4 Some Vulnerable Populations Medicare Chronic Disease Seniors Disabled (Dual eligible) Low-income Medicaid/CHIP Low-income family Low English proficiency
5 Social Marketing Supports Health Literacy and ACA Goals Understand target audience health literacy, culture, language, attitudes, perceptions, consumer reality. Identify barriers. Use plain language and consumer-centered design. Test materials and messages. Develop campaigns. Evaluate behavioral impact. Refine and repeat process.
6 Using Social Marketing to Improve Communications relevant to ACA Low Income Subsidy (LIS) Outreach Home Health Compare Discharge Planning Checklist Understanding Medicare Choices Motivational Assessment of Messages CHIP Enrollment Toolkit for Making Written Material Clear and Effective
7 Experimental Field Study
8 Key Finding We Can Improve LIS Application Rate
9 Home Health Compare Homepage: Introduced (2003) vs. Redesign
10 Discharge Planning Checklist
11 Simple Step-by-Step Reminders, Engaging Caregivers
12 Simplifying Medicare Choices
13 Sharing Lessons Learned
14 Some Next Steps Expand use of alternative communication channels/techniques (e.g., Edutainment). Expand to new audience segments. Help staff and partners communicate more effectively. Address paradoxical effects of generally effective health education. Explore ways to measure population health literacy.
15 Center for Medicare & Medicaid Innovation (CMMI) Will fund pioneering efforts to bring the vision of the ideal health care system to reality. High quality Reducing avoidable costs Patient-centered care Health literacy can (and is expected to) play an important role. Extends focus to health care consumer as an active part of the health care system.
16 CMMI Provides a Tremendous Opportunity Improvements in health literacy can be important in building an accountable health care system. Approaches that examine how improvements in health literacy could be linked to improved patient-centered outcomes (e.g., Patient-Centered Primary Care, Accountable Care Organizations) would be welcomed. Accountability for improving health literacy could support more general health care system improvements.
17 What Can Improved Health Literacy Do? Help build an accountable health care system. Support better consumer decisionmaking. Help reduce avoidable costs. Produce better outcomes. Result in better health outcomes and improved quality of life for our beneficiaries.
18 Author Contact Information Frank Funderburk Director, Division of Research Strategic Research & Campaign Management Group Office of Communications
19 Note The statements expressed in this presentation are those of the author and do not necessarily reflect the views of the Centers for Medicare & Medicaid Services.
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