1. Barriers and Recommendations From Outstate Minnesota Rosemond Owens, MPH CentraCare Health – St Cloud, MN

2. Goal of Workgroup The workgroup will identify opportunities to reduce barriers to accessing quality care that will improve health outcomes in Minnesota. This includes options that address existing financial or structural barriers to care for special or harder to reach populations.

3. Outstate Barriers Transportation issues Prohibition to bill same day services Overuse of the ED Cultural/communication barriers Unfamiliar with concept of Preventive care Mistrust/lack of knowledge of the health care system Access to dental care for people on government plans Low health literacy Lack of healthcare workforce/leadership diversity Prior authorization barrier

4. Recommendations Transportation solutions: waivers, increased availability Interpreter/CHW Reimbursements Innovation grants/Seed money to provide flexibility for health systems to partner within the community, i.e. CHWs, navigators Prepaid Coordination options Common formulary/transparency of health plan coverage

5. Video CHW Amina Ahmed – CentraCare Health

6. Questions/Comments