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Examining Community Health Worker Models in Managing Chronic Conditions

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Chronic conditions are on the rise, and the health care sector has not adequately responded to the changing needs of patients with chronic illnesses, who require complex care regimens and often leave the doctor’s office with little information on how to properly self-manage their conditions. The community health worker care model can fill this gap. These models seek to hire health coaches locally and position them to motivate and teach patients to self-manage their conditions, navigate the health care system, and connect with social services. Highlighting work with Janice Nittoli Practitioner Fellow Manmeet Kaur, CEO and Founder of City Health Works, this convening will explore how to better care for patients with chronic illnesses and address their complex needs outside the doctor’s office. 

Former US Secretary of the Department of Health and Human Services, Kathleen Sebelius, will discuss the system-level implications of the work and provide closing remarks.  

Panel 1: Health Coach Perspectives on Care and Coaching

  • Laudan Aron, Senior Fellow, Urban Institute
  • Leny Rivera, Health Coach, City Health Works
  • Jamillah Hoy-Rosas, Chief Health Officer, City Health Works
  • Elaine Waxman, Senior Fellow, Urban Institute (moderator)

Panel 2: Lessons from the City Health Works Coaching Model

  • Manmeet Kaur, CEO and Founder, City Health Works
  • Theresa Soriano, Senior Vice President for Care Transitions and Population Health, Mount Sinai St. Luke’s Hospital
  • Alex Federman, Director of Research, Division of General Internal Medicine; Professor of Medicine, Icahn School of Medicine at Mount Sinai
  • Joanne Kenen, Executive Editor, Health Care, Politico (moderator)

Panel 3: Payor and Provider Perspectives on Care and Coaching

  • Melissa Cohen, VP for Payment Innovation Strategy, Anthem Inc.
  • Jacob Reider, CEO, Alliance for Better Health
  • Joanne Kenen, Executive Editor, Health Care, Politico (moderator)

Panel 4: System Implications and Closing Remarks

  • Joanne Kenen, Executive Editor, Health Care, Politico (moderator)
  • Kathleen Sebelius, former Secretary, US Department of Health and Human Services 

For inquiries regarding this event, please contact [email protected].

PHOTO: Destini Belton (left), a coach with City Health Works and James Nettles, her client, meet in Mr. Nettles' home to discuss his diet and controlling his diabetes. Photo by Michael Kleiman for the Urban Institute.

Support for this event is provided by The Rockefeller Foundation.For more information on the Urban Institute’s funding principles, go to

Date & Time Tuesday, February 6, 2018
Urban Institute 2100 M Street NW
5th floor
Washington , DC , 20037
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  • Senior Fellow
  • Senior Fellow
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