The U.S. healthcare system is transforming in response to many types of pressures. To ensure these changes benefit the people the system is intended to serve, policymakers, funders, advocates and others need actionable information to guide improvement efforts. Moreover, given the complexity of the health system, it is imperative that these efforts are systematic and evidence-based.
The following policy compendium serves as a roadmap—highlighting a promising set of federal, state and (occasionally) local policies to achieve our health system transformation goal:
Ensuring that the healthcare system works seamlessly with public health, social sectors and community members to address the goals and needs of the people it serves and advance health equity.
Our work relied heavily on informal interviews with experts from a wide variety of policy fields. The conversations yielded three “interim destinations” on the road to achieving our transformation goal:
Assess people’s physical, behavioral and oral health, as well as social needs, and identify gaps in the community’s capacity to address them;
Create integrated systems to advance population health; and
Ensure meaningful access to care and services that meet people’s goals and needs, especially within underserved communities.
Themes that repeatedly surfaced from our discussions with key experts include:
Most importantly, across our literature review and our conversations with experts, we found no barrier that was insurmountable to achieving our health transformation goal. Indeed, the Policy Roadmap is replete with proof-of-concept examples of where these policies are already working to make our health system more patient-centered.
A comprehensive set of appendices forms a “toolkit” to make this roadmap easy to use for a variety of audiences: