Strategies

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those who experience barriers in accessing health care; also called promotoras(es) de salud or community health representatives

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools

Deliver health care services and support to individuals with mental health concerns via mobile devices using text messaging or mobile applications (apps)

Engage community members to determine how public budgets are spent, ideally to improve neighborhood conditions and reduce inequality.

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

Bring people with diverse values and perspectives together to engage in facilitated, inclusive, and informed dialogues about a topic of public concern. Examples include Citizens’ Initiative Reviews, deliberative polling, citizen juries, and citizen’s assemblies.

Support individual and group use of internet-based tools to receive news, communicate or share information, collaborate on ideas, mobilize networks, and make collective decisions

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care