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Healthcare Through the Payer Lens: Targeting Social Determinants of Health, Improving the Member Experience, and Increasing Access to Care

Borst, Paige (2023) Healthcare Through the Payer Lens: Targeting Social Determinants of Health, Improving the Member Experience, and Increasing Access to Care. Master Essay, University of Pittsburgh.

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Abstract

This essay focuses on the projects completed through an Extended Administrative Residency with UPMC Health Plan, specifically within the CHIP and Exchange Operations departments. As a student within the Master of Health Administration program at the University of Pittsburgh, this residency provided valuable experiences to complement the educational component of the graduate degree program. The projects completed and highlighted throughout this essay emphasize the payer’s role within healthcare and their importance to public health. The projects focus on addressing social determinants of health, improving the member experience, and increasing access to health care services through expanded coverage. The methods utilized within these projects include literature reviews, stakeholder meetings, process improvement, and data analysis. The outcomes of the projects include a new partnership focused on improving members’ financial literacy, a simplified, member-facing communication piece, and a seven-county expansion of the UPMC for Kids CHIP product. The projects and overall experience associated with this residency have developed and strengthened many of the core competencies within the Master of Health Administration program and have prepared me to pursue a career within health insurance.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Borst, Paigepab178@Pitt.edupab178
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBroom, Kevinkevinbroom@pitt.eduUNSPECIFIEDUNSPECIFIED
Committee MemberMoss, Deborahdeborah.moss@chp.eduUNSPECIFIEDUNSPECIFIED
Committee MemberTracy, Patricktracypj@upmc.eduUNSPECIFIEDUNSPECIFIED
Date: 11 May 2023
Date Type: Completion
Number of Pages: 40
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 11 May 2023 17:15
Last Modified: 11 May 2023 17:15
URI: http://d-scholarship.pitt.edu/id/eprint/44609

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