A Spotlight on Aligning Clinical Partners to a Collective Vision to Address Health-Related Social Needs
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Associated Project
Accountable Health Communities: Identifying and Addressing Social Determinants of Health
Prepared for:
U.S. Department of Health and Human Services
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
U.S. Department of Health and Human Services, Center for Medicare & Medicaid Innovation
Rocky Mountain Health Plans (Rocky Mountain), a United Healthcare company, is a healthcare payer based in Colorado and a participant in the Accountable Health Communities (AHC) Model. Rocky Mountain partners with almost 70 clinical sites (including emergency departments, primary care providers, and local public health departments) in rural western Colorado to screen Medicare and Medicaid beneficiaries for health-related social needs (HRSNs) and provide beneficiaries with community resource referral and navigation to address their needs. This spotlight describes Rocky Mountain’s multifaceted approach to engage clinical partners in a collective vision for addressing HRSNs regionally.
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