Institute for Family Health
Access to Primary Care for the Underserved in the Mid-Hudson Valley
Priority Area: Advancing Primary Care
Priority Area: Special Projects Fund
Until 2007, the Mid-Hudson Family Health Institute owned and operated six family practice centers in Ulster and Dutchess Counties. These centers were the major source of primary and preventive care in New Paltz, Kingston, Ellenville, and Hyde Park. By 2007, the Mid-Hudson network was experiencing mounting financial losses and was on the brink of insolvency. The collapse of the network would create a huge void in area residents’ access to health care. Consequently, Mid-Hudson asked the Institute for Family Health (d/b/a Institute for Urban Family Health at the time) to step in and assume its operations. By January 2007, the Institute had obtained approval from the Federal Bureau of Primary Care and the New York State Department of Health to acquire the Mid-Hudson sites and include them in their Federal scope of service, transforming the centers into FQHCs and operating them on the Institute’s Article 28 license.
Ibero-American Action League, Inc.
Promotores de Salud
Priority Area: Special Projects Fund
There are significant differences in the causes of mortality and in access to health care between Latinos and the broader population of Rochester, New York that reflect inadequate access to health care services, as well as a failure to use existing community services. Latino patients being treated and released at hospital emergency departments for illnesses or complaints that could otherwise be treated in an outpatient setting is an indicator of the lack of a “medical home,” or a usual source of care. Patients who lack a medical home do not have easy access to timely, well organized health care. The Ibero-American Action League, Inc. created a Promotores de Salud (“Health Promoters”) program that encourages better use and understanding of the health care system among Latinos in the greater Rochester area. It reaches out to individuals in need of health care services and connects them to a “medical home” and to insurance resources. It also provides educational workshops and transportation, interpretation/translation, and patient navigation services for area Latinos with targeted health conditions (allergy, asthma, diabetes, heart disease, lead poisoning, mental health, obesity).
The Nelson A. Rockefeller Institute of Government
Reforming the Small-Group Insurance Market, Phase 2
Priority Area: Expanding Health Care Coverage
In the second of two grants from the New York State Health Foundation’s Coverage Consortium initiative, the Nelson A. Rockefeller Institute of Government implemented Phase 2 of a project that focused on reform options for New York’s small-group insurance market . This project built on the knowledge base developed in the first grant phase, with specific analyses focused on insurance product standardization, advantages and disadvantages of high-risk pools, and sustainable methods for financing coverage expansions.
This project was part of a larger NYSHealth Coverage Consortium that funded 10 grants to seven universities, policy institutes, and community agencies across the State, supporting projects that could inform State health reform efforts, offer ways to streamline enrollment in public programs, significantly reduce costs and improve quality, and test ideas for expanding coverage among small employers, sole proprietors, and self-employed people.
Read an NYSHealth special report that contains a summary of findings from this consortium.
Read about the first of two grants to the Rockefeller Institute from the NYSHealth Coverage Consortium initiative.