logo Colin Lady with laptop  Group
CHAT sessions.

SHD facilitates interactive small group sessions with healthcare, business and community organizations, challenging their leaders to address one of the toughest questions in health policy: What is the minimum healthcare coverage that everyone should have?

Using a computer-based tool called CHAT (see description below), SHD leads these two-hour sessions in California and other states. CHAT is a particularly engaging tool for Board meetings, retreats, conferences and training programs. To learn more about using CHAT, contact SHD.

What others are saying:
National Society of Actuaries
State Coverage Initiatives

Among recent groups holding CHAT sessions by SHD:



The session prompted many in our group to rethink assumptions about basic health care. CHAT raises important questions for anyone working in healthcare policy.
--Kate McGarvey, Health Consumer Alliance Director
California groups:
  • Community Health Alliance of Humboldt-Del Norte
  • Fresno Healthy Communities Access Partners
  • San Mateo County's Health Care Model Workgroup
  • Leadership Sacramento of the Chamber of Commerce
  • Assembly, Senate and Executive Fellows programs
  • Managed Risk Medical Insurance Board staff
  • Robert Wood Johnson Foundation Policy Fellows
  • California Pan-Ethnic Health Network, Board of Directors
  • CaliforniaKids (LA) Board of Directors
  • Sutter Health Sacramento regional Board of Directors
  • Woodland Healthcare Board of Directors
  • Department of Managed Health Care staff
  • ABD Insurance & Financial Services
  • Sierra College faculty
  • UCSF medical residents
Other states and national groups:
  • State Coverage Initiatives Program, Summer workshop for state officials
  • Society of Actuaries, Spring conference
  • Department of Insurance, Columbus, Ohio
  • American Leadership Forum, Houston, Texas
  • Department of Insurance, Helena, Montana
  • Department of Insurance, Baton Rouge, Louisiana
  • Department of Insurance, Oklahoma City, Oklahoma

CHAT wheel

the CHATŪ tool

CHAT (Choosing Healthplans All Together) is a computer simulation game developed by physician ethicists at the National Institutes of Health and the University of Michigan, whereby participants are faced with making decisions about health benefits packages when there are more choices than resources.

This stimulating and educational process takes place in a 2-hour discussion group where participants design a health coverage package, individually and as a group. The CHAT game is conducted using individual computers combined with group discussion that involves negotiation, compromise and consensus-building.

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