Sep 28, 2018 • 25M

Utah's Alliance for the Derterminants of Health Initiative: A Conversation with Mikelle Moore (September 27th)

Open in playerListen on);

Appears in this episode

David Introcaso, Ph.D.
Podcast interviews with health policy experts on timely subjects. The Healthcare Policy Podcast website features audio interviews with healthcare policy experts on timely topics. An online public forum routinely presenting expert healthcare policy analysis and comment is lacking. While other healthcare policy website programming exists, these typically present vested interest viewpoints or do not combine informed policy analysis with political insight or acumen. Since healthcare policy issues are typically complex, clear, reasoned, dispassionate discussion is required. These podcasts will attempt to fill this void. Among other topics this podcast will address: •Implementation of the Affordable Care Act •Other federal Medicare and state Medicaid health care issues •Federal health care regulatory oversight, moreover CMS and the FDA •Healthcare research •Private sector healthcare delivery reforms including access, reimbursement and quality issues •Public health issues including the social determinates of health Listeners are welcomed to share their program comments and suggest programming ideas. Comments made by the interviewees are strictly their own and do not represent those of their affiliated organization/s.
Episode details

Listen Now

Despite the fact social circumstances and environmental factors account for approximately 20% of an individual's health status, twice that of medical care at approximately 10%, social circumstances or social determinants of health are frequently unaddressed by health or medical care providers.  This is largely because medical care providers are neither trained to provide social service supports such as housing and transportation nor compensated for doing so.   As a result persons left with unmet health-related social needs suffer more disease burden leaving them to over-utilize or seek comparatively more health care services, for example ED visits, - or services that could have been avoided had their health-related social needs been initially addressed.      

During this 24 minute conversation Ms. Moore begins by noting the current state of Medicaid expansion efforts in Utah.  She proceeds to explain Intermountain's reasons or motivations for creating the Alliance, she provides an overview of the Alliance's programming activities in Ogden and St. George that will address, for example, housing, transportation, food security and behavioral health services related, in part, to interpersonal violence, the initiative's relation to Intermountain's Medicaid insurance plan, SelectHealth, to the Medicare program's Accountable Health Communities demonstration, and what the Alliance's evaluation will measure in tracking the initiative's progress or success.  

Ms. Mikelle Moore is the Senior Vice President for Community Health at Intermountain Healthcare.  Her work is moreover focused on prevention and population health.  Prior to her current position, she served as Administrator of the LDS Hospital.  She joined Intermountain as an Administrative Fellow in 1998, serving as Assistant Administrator and Operations Officer in the Central Region.  She is a Fellow in the American College of Healthcare Executives and serves on the national Advisory board for the Association for Community Health Improvement. She is also active on other not for profit boards and community initiatives.  Ms. Moore earned her MBA in health services administration from Arizona State University and her undergraduate degree in physiology from the University of Arizona.  

For more information on the Alliance go to, e.g.,