Caroline Waltzman, MHA
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carolinewaltzman.bsky.social
Caroline Waltzman, MHA
@carolinewaltzman.bsky.social
Author of The Health System Navigator on Substack | Master of Health Administration | Health Equity | Health Literacy | Rural Health
In my latest newsletter:
– Why extreme weather hits some communities harder
– The impossible choices millions face
– Solutions that can save lives

Read here: open.substack.com/pub/caroline...

#HealthEquity #ClimateChange
August 11, 2025 at 10:54 PM
From 115°F heat in Arizona to -14°F nights in Alaska, climate change is a year-round health crisis.

For some, it’s life or death.
💡 Heating or eating
💊 Medicine or cooling
🏚 Shelter rules or survival outside



#PublicHealth #ClimateResilience
August 11, 2025 at 10:54 PM
Representation creates a bridge. It shortens the emotional distance, and it makes healing possible.

Our patients don’t have to explain themselves when the other person in the room already understands. Representation matters.

#healthcare #healthjustice #equality #equity #disabilityjustice #disabled
August 7, 2025 at 7:17 PM
2/
Below, I explain what’s happening, what’s at stake, and what we can do to protect prevention. 👇🏼🔗

📨 open.substack.com/pub/caroline...

#USPSTF #HealthPolicy #PreventiveCare
July 31, 2025 at 4:45 PM
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Most people have never heard of the USPSTF, but this independent task force quietly protects access to free preventive care for millions of Americans.

Now it’s under serious threat.

#PublicHealth #ACA #HealthEquity
July 31, 2025 at 4:45 PM
July 21, 2025 at 9:00 PM
Let’s talk about #Medicaid #Fraud-
- what it is
- what it’s not
- the harm we cause by perpetuating misleading headlines
- the actual Medicaid improper payment rates versus proper payment rates

Read my newsletter below 🗞️🔗
July 21, 2025 at 9:00 PM
July 10, 2025 at 2:48 PM
Food is a human right.
And even as federal support disappears, community care hasn’t.
🥫 Pantries, fridges, mutual aid
🍎 WIC + school meals
🚗 Help for seniors & folks without internet
📬 Full guide here!
#SNAP #MutualAid #HealthEquity #DisabilitySupport #RuralHealth #FoodInsecurity
July 10, 2025 at 2:48 PM
Because when the right players do what only they can do, everyone wins.

#SDOH #HealthEquity #PublicHealth #Collaboration #SystemChange
July 3, 2025 at 9:06 PM
We don’t need more heroic one-organization solutions for housing, food, or transportation.

We need collaboration.

In today’s post: real examples of hospitals, nonprofits, and public agencies working together to address the social drivers of health and what made those partnerships stick.
July 3, 2025 at 9:06 PM
The University of North Carolina Sheps Center for Health Services Research evaluated hospitals based on Financial Distress Index data, but individualized data on that measure was not provided.

The result of drastic Medicaid cuts would mean that millions of people not on Medicaid were impacted.
July 3, 2025 at 4:37 AM
Here is a list of 338 rural hospitals likely to close if we see cuts to Medicaid. About these hospitals:

(1) they are in the top 10% Medicaid payer mix of rural hospitals across the country

(2) they have experienced three consecutive years of negative total margin.
July 3, 2025 at 4:37 AM
💧 Health Policy Is the Source 💧

I wanted to take a second to talk about the second-to-last slide from my post yesterday on addressing SDOH via government.

If you've ever stood downstream of a polluted river, you know the damage starts far upstream. The same is true in healthcare.
July 1, 2025 at 8:38 PM
From Medicaid covering meal delivery to HUD research proving zip codes change health outcomes, the Social Determinants of Health are finally getting policy attention.

📖 Read more here: open.substack.com/pub/caroline...
#PublicHealth #HealthEquity #UpstreamHealth #SocialDeterminants #HealthSystems
June 30, 2025 at 5:01 PM
What if your housing voucher or broadband connection did more for your health than your annual checkup?

State + federal governments are starting to treat things like food, housing, and transportation as health policy…because they are.

#SDOH #HealthPolicy #Medicaid
June 30, 2025 at 5:01 PM
They’re the ones:
🍲 Running food pantries that respect culture
🚗 Coordinating rides in rural towns
📚 Hosting Medicaid help nights
🏳️‍🌈 Supporting LGBTQ+ patients with trusted care

These groups know their people, and they make a real impact on health.

Government posts coming next.

#SDOH #PublicHealth
June 27, 2025 at 1:06 AM
Who’s really addressing the social determinants of health (SDOH)?

Today’s post is about the local experts who don’t get enough credit: community orgs, faith groups, & grassroots leaders.

#MutualAid #CBOs #HealthAccess
June 27, 2025 at 1:06 AM
How hospitals can address social determinants of health without going broke:

#HealthEquity #SDOH #Hospitals #CommunityHealth #PopulationHealth #CHWs #HealthcareJustice #ValueBasedCare #PublicHealth
June 23, 2025 at 5:13 PM
🩺 Hospitals can’t solve poverty, but they can reduce ER visits by investing in housing.

They can’t fix food deserts, but they can screen for hunger and connect people to help.

Can hospitals afford to NOT address SDOH?
June 23, 2025 at 5:13 PM
Your friendly neighborhood word nerd suggesting that you subscribe to Dr. Goodword.

In the wake of everything happening with ACIP (and everything else 🤦🏼‍♀️), I enjoy receiving my Word of the Day. Today’s word happened to be “Empircal.”

Thank you Dr. Goodword!

Subscribe to them at this link:
June 18, 2025 at 6:59 AM
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100 people wanting to read and learn about the U.S. Health System. 27 states. 10 countries.

My readership is made of health professionals and patients, some of who, as stated above, don’t even reside in the United States.

#HealthLiteracy #USHealthSystem #HealthcareExplained
June 12, 2025 at 8:37 PM
We can’t build population health strategies on behavioral or social data alone.
📊 Biological risk factors must be integrated into EHRs, predictive models, and care pathways, right alongside social and environmental data.
#PopulationHealth #HealthData
June 9, 2025 at 7:48 PM
A BRCA mutation.
Early-onset Alzheimer’s in a parent.
A genetic predisposition to hypertension.
These aren’t just clinical notes; they’re clues. If we overlook them, we miss early intervention and opportunities for personalized, proactive care.
#PersonalizedCare
June 9, 2025 at 7:48 PM
Biological determinants of health are often the quiet drivers of health outcomes but rarely get the spotlight in system-level conversations.
🧬 Genetics, age, sex, and inherited conditions shape a person’s health trajectory before a diagnosis is even made.
#HealthEquity #GeneticsInMedicine
June 9, 2025 at 7:48 PM