Bridging the Gap: How Startups Can Help Achieve Health Equity in Medicaid

As a health policy implementer and startup advisor, I'm constantly on the lookout for innovative ways to bridge the gap in healthcare access and quality, especially within publicly-funded programs. The recent article by the Center for Health Care Strategies (CHCS), "Operationalizing Health Equity Efforts within Medicaid,” offers valuable insights that can accelerate the role startups can play in achieving health equity.

The CHCS article emphasizes the importance of a "get tactical" approach to health equity. This resonates deeply – true progress requires moving beyond lofty goals and into the practicalities of everyday healthcare delivery.

This is where startups excel. Nimble, innovative, and data-driven, startups are uniquely positioned to tackle specific challenges within Medicaid programs and design solutions that address health equity at a granular level.

Beyond Medical Care: Addressing Social Determinants of Health (SDOH)

Health equity is intricately linked to social determinants of health (SDOH). These are the social and environmental factors – like housing, education, and access to healthy food – that significantly impact individuals' and communities' health and well-being. Where you live, who you trust, and your cultural identity play a critical role in health equity, as much as your experience receiving medical care.

Section 1115 Waivers: A Pathway for Innovation

Section 1115 Medicaid demonstration waivers are increasingly becoming an opportunity for health equity-focused startups to bridge the gap between SDOH and health equity. Several states, like Massachusetts, Vermont, California, and New York, are testing new approaches to address health-related social needs beyond the standard programs. Many of these waivers include funding and technical assistance opportunities for community-based providers to adopt innovative solutions, opening doors for scaling and sustainability.

Meet the Innovators: Startups Operationalizing Health Equity

In my work, I come across many passionate, mission-aligned individuals and organizations. Here are a few trailblazing startups operationalizing health equity through publicly-funded healthcare programs:

• Rosarium Health: Empowering Safe and Independent Living

Rosarium Health is a mission-driven company making home accessibility affordable and attainable for everyone. They believe a safe and accessible home is the foundation for living independently and maintaining dignity at any age. The company serves individuals across the age spectrum, from children on Managed Medicaid plans to seniors on D-SNP products, ensuring everyone can age safely in their own homes.

Recently, Rosarium co-hosted a home modification symposium in Louisville, KY with a broad range of stakeholders in the aging services ecosystem.The event explored how individuals of all ages can age safely at home covered by insurance.

• Oben Health: Redefining Healthcare in Your Community

Oben Health isn't your typical healthcare provider. They bring essential health services directly to you, in the familiar and trusted setting of your local barbershop or salon. They integrate medical screenings, health education, and even treatment options right into your existing routine. No more juggling appointments or navigating unfamiliar healthcare environments. Their approach leverages the existing trust and rapport individuals have with their barbers or stylists, making healthcare more approachable and comfortable.

Oben Health was recently named a winner of the Johnson & Johnson 2024 Health Equity Innovation Challenge for their work addressing health inequities.

• Zócalo Health: Building Communities United for Better Health

Zócalo Health is a healthcare company built by Latinos, for Latinos. They understand the unique needs and challenges faced by Latino communities and are passionate about improving their health and wellbeing.

Zócalo provides culturally competent care that respects traditions and fosters trust. Team members understand the language and background of their patients, creating a comfortable and welcoming environment. Their care model is built around trust and connecting patients to innovative solutions, fostering long-term relationships for ongoing care management.

Zócalo Health recently teamed up with Blue Shield of California Promise Plan to host a "Cafecito, Cumbia y Salud" event series for communities across California.

What Makes Them Stand Out?

They weave trust and belonging into their community engagement strategies, anchoring themselves in what the community values most – a safe home, a trusted friend, and a sense of community.

Furthermore, they collect and utilize data to increase understanding, measure outcomes, and bring visibility to the unmet needs of many communities.

It's an exciting time in Medicaid and healthcare in general. I firmly believe that by working together, policymakers and startups can unlock a new era of health equity within Medicaid. Together, we can ensure everyone has access to the quality healthcare they deserve.