Health Improvement: Public Education on Value-Based Care

Kate B. Reynolds Charitable Trust

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Grant amount: Up to US $150,000

Next deadline: Apr 4, 2019 2:00pm PDT (Letter of inquiry)

Later deadlines: Apr 18, 2019 2:00pm PDT (Full proposal), Jan 18, 2020 2:00pm PST (Letter of inquiry), Feb 1, 2020 2:00pm PST (Full proposal)

Applicant type: Government Entity Nonprofit

Funding uses: Training / Capacity Building, Education / Outreach, Applied Project / Program

Location of project: North Carolina

Location of residency: North Carolina

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Overview:

NOTE: If you believe you are eligible, contact the program coordinator to arrange a phone consultation to determine if your idea is a fit. An advance call is required at all times. The Call-by date is the "Letter of inquiry" deadline above. 

The Kate B. Reynolds Charitable Trust was established in 1947 and is now one of the largest private trusts in North Carolina. Its mission is to improve the quality of life and quality of health for the financially needy of North Carolina.

Health Improvement Funding Opportunity: Public Education on Value-Based Care

This funding opportunity is for organizations that can help educate and inform concerned residents, community-based organizations, safety net providers, and other key stakeholders about Medicaid reform and the health system’s transition to value-based care.

Goal

As value-based care is implemented, we want to ensure that populations traditionally suffering the worst health outcomes, especially minorities and people with low-incomes, are directly engaged in reform efforts and have an equitable opportunity to enjoy improved health and well-being.

Strategy

Support public education efforts such as convenings, regional forums, or community conversations to ensure that local groups including nonprofits, safety net providers, and marginalized populations can engage with the health system and value-based care collaboratives to improve medical and non-medical drivers of health.

Geographic Focus

Statewide

Details

Background

Because the health care system is undergoing a sweeping shift driven by rising costs, poor outcomes, and federal reform, it is moving away from traditional reimbursement methods built on individual payments for each medical service to a concept called value-based care. Value-based care is meant to encourage population health improvement and keep people out of the hospital.

The movement toward value-based care takes many forms in North Carolina. Networks called Accountable Care Organizations work to integrate groups of doctors, hospitals, and other health care providers to deliver high quality, coordinated care to a defined patient population such as Medicare recipients. Attempts to transform the health system also are reaching into neighborhoods to coordinate clinical care with social services and community-based organizations. This model is referred to as Accountable Care Communities. Accountable Care Communities aim to address some of the underlying drivers of poor health outcomes such as food insecurity, substandard housing, inadequate transportation, and interpersonal violence.

The Trust has an overarching goal of achieving equitable health outcomes. During the implementation of value-based care over the next several years, we want to ensure that populations traditionally suffering the worst health outcomes, especially low-income people and racial minorities, are directly engaged in reform efforts and have an equitable opportunity to enjoy improved health and well-being.

The largest experiment implementing value-based care in North Carolina that most impacts low-income communities is the remaking of the state’s Medicaid program. Medicaid is a joint state and federal program that pays for the care of approximately 2 million North Carolinians, or about 20 percent of the state’s population. Most Medicaid recipients are children, pregnant women, seniors, and people with disabilities. Value-based care and Medicaid reform hold the promise to provide better care at lower costs. But a change of this size and scale also can reproduce or exacerbate the deficiencies and disparities of the current structure.

Opportunity Details

The Trust is interested in hearing from applicants that can help educate and inform concerned residents, community-based organizations, safety net providers, and other key stakeholders about Medicaid reform and the transition to value-based care. This public education work could include large convenings, regional forums, or community conversations. We want to ensure that local groups, including nonprofits, safety net providers, and marginalized populations, have a better understanding of how they can engage with the health system and value-based care collaboratives to collectively improve the community conditions that contribute to poor health. The Trust may fund several organizations to reach target populations or geographic areas.

You can learn more about this opportunity by visiting the funder's website.

Eligibility:

  • Before applying, consider the following questions and requirements:
    • Is your organization or work a good fit with the Trust?
    • Are you located or operating in North Carolina?
    • Does your work focus on improving quality of life and health for North Carolinians with low incomes?
    • Do you primarily support populations experiencing poverty?
      • These populations include: individuals living at or below 200 percent of the federal poverty level; the uninsured; and those eligible for Medicaid and/or the free/reduced school lunch program.
    • Are your clients (or focus population) residents of North Carolina? If yes, then you may fit our geographic criteria.
  • Organizations the Trust WILL fund:
    • Nonprofit 501(c)(3) organizations
    • Governmental entities

Ineligibility:

  • Organizations the Trust WILL NOT fund:
    • Individuals
    • Faith-based organizations without 501(c)(3)
    • Type III supporting organizations
    • Organizations providing pass-through funds to an ineligible organization