Grant Partners

The National Alliance on Mental Illness Massachusetts (NAMI Mass) will work to improve access to mental health services and to reduce stigma regarding mental health conditions. Priorities include restoring state funding and reimbursement for behavioral health services and improving commercial coverage of emergency services. Additionally, NAMI Mass will work on creating a statewide mental health training program for law enforcement. To achieve these goals, NAMI Mass will conduct policy analyses, organize local chapters and peer support program members, and participate in coalitions and stakeholder alliances.

Caring Health Center will implement an extensive media and grassroots community outreach campaign to promote enrollment via multilingual television, radio, newspaper, print, social media, and website advertisements; deliver outreach at numerous community events and venues; support MassHealth members impacted by the Accountable Care Organization transition, increasing knowledge and awareness of new coverage options; develop and facilitate multilingual discussion groups to understand health system challenges; and develop facilitators’ guides, educational handouts, and a survey instrument to assess consumers’ understanding of public health insurance availability, policies, and literacy.

Greater New Bedford Community Health Center will educate patients on practices that will help them obtain and maintain coverage, including an overview of the enrollment process, action steps needed, and key deadlines; set-up a secure drop-box for patients to deposit documentation to expedite the collection and application processes; develop reminder cards that highlight important dates, deadlines, and outstanding documentation; proactively review copies of patients’ notification letters from MassHealth and the Connector to provide targeted assistance for those denied for coverage; and target outreach at self-pay patients, which the health center is seeing at increased rates, to discuss coverage options and assist in the enrollment process.

The Dimock Center will utilize its practice management system to run registries of individuals who might be at risk of losing their coverage based on insurance transitions; lead workshops and information sessions at the health center and with community partner agencies to educate patients on how to apply for, enroll in, and maintain health coverage; notify patients within four to six weeks of application to ensured they received their coverage confirmation letter, remind them of any expiration or renewal dates, and confirm next steps to ensure coverage is maintained; set up alerts in the electronic health record to notify staff of coverage expiration dates a few weeks prior to flag patients that need help with renewal applications.

The Community Builders (TCB) is a nonprofit real estate developer and owner, with a mission of building and sustaining strong communities where people of all incomes can achieve their full potential.  The organization develops housing for families and seniors, invests in local businesses and public amenities that strengthen neighborhoods, and constructs or preserves hundreds of affordable and mixed-income housing developments.  TCB will commission Health Resources in Action to develop and conduct an evaluation for its Community Life program, specifically for low-income residents housed in the New Franklin Homes development in Dorchester.  Community Life is a program that addresses important social determinants of health like housing stability, early childhood education, access to healthy food, and economic stability to improve the health of residents.  Residents facce a multitude of chronic health issues, including high blood pressure and diabetes, and over half of residents report not managing their conditions.  The process will enable TCB to develop clear metrics and evidence-based strategies to improve health outcomes among its residents. 

The Massachusetts Association for Mental Health (MAMH) will work to improve access to behavioral health services and health-related social services for individuals with behavioral health conditions. MAMH will analyze policies and evidence-based programs related to health, including supportive housing subsidies and criminal justice reform, and will disseminate their findings through reports and through their activities as a convener and coalition leader. MAMH will also work to expand their capacity for data collection, measurement, and reporting.

Massachusetts Public Health Association (MPHA) will focus on community health integration and improving the built environment. MPHA will work with the Alliance for Community Health Integration to ensure that social determinants of health are adequately addressed, in particular through community investments, support for ACOs from MassHealth, and health care institutions’ internal policies.

Brockton Neighborhood Health Center will partner with community organizations; help patients update account information, make payments and understand communications from the MassHealth and the Connector; reach out to patients via phone or mail to ensure they understand changes and take steps to maintain coverage; and work closely with patients through individual education and coaching to address post-enrollment issues like selecting a health plan, choosing a primary care provider, and making payments online.

Family Health Center of Worcester will conduct outreach with partner agencies; advertise Navigator services in local media; review all eligibility determination letters received from MassHealth and the Connector, proactively contacting patients who were denied or lost coverage, and assist them in completing the application or re-applying; use multilingual call center software to send auto reminders and targeted messages to patients with impending deadlines; provide group information sessions at agencies that serve target population; and host monthly orientations for new patients to help them understand how to navigate services at the health center.

Cambridge Economic Opportunity Committee will leverage partnerships with local community organizations; staff tables at cultural festivals, community fairs, faith-based organizations, and housing developments; disseminate flyers, door hangers, and utilize social media; provide education on the payment system through the Health Connector; provide post-enrollment assistance by educating about choosing a plan, making appointments, how to read medical bills, and questioning charges; and offer financial coaching in light of addressing premium payments. 

The Health Starts at Home Initiative supports four partnerships that bring together housing and health care organizations to support work that demonstrates the positive effects of stable, affordable housing to children's health outcomes, identify promising new and existing models for collaboration that can be brought to scale, decrease health care costs, and decrease costs related to homelessness.  Families eligible for participation have children under the age of 12, and are experiencing housing instability.  The evaluation partners for Health Starts at Home, Health Resources in Action and the Urban Institute, are conducting both outcome and process evaluations to measure whether and how improved housing stability affects the health of children, as well as to document successes and challenges, and develop best practices for creating these types of health care and housing partnerships. 

Disability Policy Consortium (DPC) will connect disability advocacy communities across the state and amplify the voices of these groups in conversations with state and federal policymakers. In so doing, DPC seeks to re-frame disability as a social rather than medical condition and to shift the focus within disability-related health care from payment to ethics. DPC will serve as a hub for cross-disability advocacy through community-based participatory action research, their co-leadership of DAAHR, and an expanded social media presence.

Lowell Community Health Center will institute a “triage” system to improve efficiencies in how patients are provided with enrollment assistance; extend enrollment hours at the health center; provide educational workshops for clinic and agency staff; develop a reminder checklist on the importance of reviewing correspondence from state offices and completing the re-determination form to avoid gaps in coverage; establish a tracking system that enables staff to reach clients with timeline reminders about renewal dates and post-enrollment issues; develop a comprehensive, multilingual patient education flyer with key insurance information; participate in local community health events to promote insurance counseling and enrollment; create a multilingual brochure listing available health insurance options; and offer quarterly onsite educational sessions for providers, front-line staff, and community agencies on health insurance topics.

The Massachusetts League of Community Health Centers (the League) will serve as a source of accurate and timely information related to health care coverage issues. The League will conduct policy analyses regarding state and federal issues and disseminates their learnings to policymakers, state agencies, member organizations, and other advocacy groups. Additional priorities will include increasing the League’s capacity for grassroots advocacy work and improving health literacy among patients at community health centers.

Health Law Advocates (HLA) will focus on improving health care access for vulnerable populations by providing direct legal services and advocating to state policymakers. Their direct legal service work will inform community outreach efforts, education programs, policy analyses, and legislative proposals. In their advocacy work, HLA will pay particular attention to children with disabilities, immigrants, and transgender individuals, and to issues related to behavioral health care access. Additionally, they will defend MassHealth members against federal Medicaid changes and ensure access to services for ACO-enrolled MassHealth members.