Models for Population Health Improvement by Health Care Systems and Partners Tensions and Promise on the Path Upstream: Proceedings of a Workshop (2022) / Chapter Skim
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5 Midstream: Accountable Health Communities and Partnerships with Human Services Organizations
5 Midstream: Accountable Health Communities and Partnerships with Human Services Organizations
Pages 33-42
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From page 33... ...
A forthcoming evaluation will determine whether the model will save the federal government health care costs.
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From page 34... ...
• There is concern that social services could become overmedicalized with increased contracting between community-based organizations and health care organizations; community-based organizations need to balance the ten sion between being mission driven, data informed, and revenue generating so that they can continue to exist, innovate, better serve, and expand the populations they serve. (Scala-Foley)
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From page 35... ...
The secondary goal is to reduce total health care costs and improve outcomes by addressing unmet health-related social needs by 2022. Diamontopoulos described some of the challenges involved with screening people in a clinical setting and referring them to a community organization.
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From page 36... ...
The survey found the most common health care partners are Medicaid organizations, although FIGURE 5-1 Chart depicting the extent of paid contracts with health care organizations by type of disability and aging services organization in 2017 and 2018. NOTES: AAA = Area Agencies on Aging; CBO = community-based organization; CIL = center for independent living.
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From page 37... ...
The survey found that in 2017, less than 20 percent of community-based organizations who were contracting with health care organizations did so through networks, but by 2018, that number had increased to more than FIGURE 5-2 Chart depicting the most common services provided by d isability and aging services organizations through paid contracts with health care organizations. NOTES: The data used in this graph was collected through a survey conducted by Scripps Gerontology Center at Miami University on behalf of the Aging and Disability Business Institute, led by the National Association of Area Agencies on Aging (n4a)
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From page 38... ...
AUDIENCE DISCUSSION Rajkumar opened the audience discussion by asking Diamontopoulos about the advantages and disadvantages of working with payers or entities engaged in the delivery of health care. Diamontopoulos responded that participating in the accountable health communities model was part of the strategy of the Area Agencies on Aging to obtain additional funding to help it meet the needs of the population it serves.
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From page 39... ...
Scala-Foley noted that her organization regularly communicates with community-based organizations about how to present their value proposition to different types of health care organizations. She agreed with Diamontopoulos that data resulting from existing contracts between health care and community-based organizations and other research studies are helpful.
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From page 40... ...
As she explained, social service organizations need to balance the tension between being mission driven, data informed, and revenue generating so they can continue to exist, innovate, better serve, and expand the populations they serve. Bob Kaplan of Stanford University stated that about one-third of the money that health care payers give to provider groups, hospitals, and others are for services that do not make a difference.
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From page 41... ...
John Auerbach, who was with the Centers for Disease Control and Prevention when the accountable health communities model was developed, stated that some of the expectation of screening patients for social needs was that the screening would identify needs and the health care institution would bring people together to discuss how to address them. He suggested that some of the discussion should involve consideration of which services should be paid for by health care and which may be best addressed by policy change or other nonmedical funders.
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