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Sustainable Financing for Asthma Education and Home Environmental Trigger Remediation: Lessons Learned from the Field

2017

To ensure that people with poorly controlled asthma have access to the services and systems they need to be healthy, advocates have long recognized the need for sustainable financing for asthma education and home environmental trigger assessment and remediation. Recent transformations to the health care system, including a greater emphasis on prevention, provide more opportunities sustain existing programs and bring such services to scale.

Building on this promise, public health, community, and government leaders across the nation have been supporting policy and program efforts while sharing lessons learned. Given the innovative nature of these efforts, and the continuously evolving political and economic climate, PHI's Regional Asthma Management and Prevention program (RAMP) developed this paper to document and share this growing body of knowledge. This new paper provides both insights and inspiration to stakeholders across the nation working to increase access to essential in-home asthma services.

Read full report or the executive summary.

Asthma is a common chronic condition affecting over 25 million people across the country. Unfortunately, those suffering the greatest asthma burden—low-income communities and communities of color—often lack access to the very things that will help keep their asthma under control. Asthma education and home environmental trigger remediation are two of the four vital components of the national clinical guidelines for the management of asthma, and are proven to improve health outcomes and reduce healthcare utilization costs, typically in a very short amount of time. Still, access to these services—particularly for low-income and minority patients for whom the asthma burden is high—is far too inconsistent and limited.

With the overall goal of ensuring that children and adults have access to the asthma-related services and systems they need to be healthy, advocates have long recognized the need for sustainable financing for asthma education and home environmental trigger assessment and remediation. In recent years, the promise of transformations to the health care system, including a greater emphasis on prevention, has provided more concrete opportunities to implement the wide variety of financing mechanisms needed to both sustain existing programs and bring these types of programs to scale as they deliver a comprehensive range of asthma services.

Building on this promise, public health, community, and government leaders across the nation have been supporting policy and program efforts while sharing lessons learned. Given the innovative nature of these efforts, and the continuously evolving political and economic climate, it’s important to ensure that the growing body of knowledge across the field is documented and shared. With that aim in mind, this document shares lessons learned from RAMP, based on advocacy efforts in California and our connections with stakeholders in select states across the country. It is our hope that sharing lessons learned and insights will contribute to a roadmap for success and stimulate efforts in other states.

Read full report or the executive summary.