Baltimore Corps position to improve healthcare access

Looking for something to do now that you’ve graduated?

Baltimore Corps is looking for a fellow to start this fall working full-time on a project whose aim is to improve healthcare access for Latinos. The fellow would be working closely with healthcare providers and the Baltimore City Health Department to expand Maryland Health Connection for the enrollment of eligible children into Medicaid whose parents do not have social security numbers. Because of the nature of the project, Spanish proficiency is required.

Below is more detailed information about the aim of the project:

Latino Health Policy Group

Latinos are the fastest growing minority group in Maryland, with a population that more than doubled in the last decade. This rapid growth is a result of migration from Latin Americans seeking economic opportunities, as well as a high birth rate among Latino women. While Latino immigrants tend to be young and healthy, sustaining wellness can be challenging due to a variety of factors, including poor access to health care, a shortage of culturally and linguistically appropriate services, adoption of unhealthy habits, stress and poverty. Exclusionary policies at the federal and state level contribute to health disparities, and may increase healthcare costs. For example, immigrants who are not eligible for coverage under the Affordable Care Act may delay care for treatable conditions and use the emergency room as a last resort but costly measure. Undocumented immigrants are reluctant to use safety net services, and in some cases may avoid enrolling their U.S. born children for eligible benefits, for fear of deportation. For “mixed status” families, immigration and health policy has broad implications for U.S. born children and their pregnant mothers.

In addition, there are specific and sometimes unintentional barriers to health that occur at the local level, such as enrollment in Medicaid for certain populations in Maryland. Obstacles to Medicaid enrollment disproportionately affect pregnant women and children of parents without social security numbers (SSNs). These individuals, who are otherwise eligible for benefits, are excluded from Maryland Health Connection because they (or their parents) lack a SSN. In addition, funds available through the Affordable Care Act to enroll individuals in health insurance cannot be used to enroll ACA-ineligible individuals, including those without legal status who don’t have a SSN. These systematic problems lead to critical delays in Medicaid enrollment which can result in delayed diagnostic testing for newborn infants, loss to follow-up for recommended preventive care, and loss of reimbursement for the delivery fees of undocumented mothers.

Goal: To create a partnership between leaders in healthcare administration, public health, and health policy with providers working with the Latino community in order to identify challenges that impact Latino health and make health policy recommendations to improve health equity for Latinos at the local, state, and national level.

Nuts and Bolts: The Fellow will work with Baltimore Corps (http://www.baltimorecorps.org/) and Centro SOL (http://www.jhcentrosol.org/) to further the work of the Latino Health Policy Group as well as to facilitate the health insurance enrollment process for a diverse community including limited English proficiency Latinos.

Interested? Send resume and cover letter to centrosol@jhmi.edu

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