Aligning Provider and Payer Activities to Address Social Determinants of Health

Aligning Provider and Payer Activities to Address Social Determinants of Health

Published: Jul 01, 2021
Publisher: Centers for Medicare & Medicaid Services
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Associated Project

Accountable Health Communities: Identifying and Addressing Social Determinants of Health

Time frame: 2017–2022

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

Authors

Lee-Lee Ellis

Risa Nakajima

Key Findings
  • Define success criteria early. Allina Health worked with internal and external stakeholders (such as frontline providers and health system leaders, government agencies, and community service providers and members) to define success for the SDOH 2.0 Model.
  • Understand the state-level policy context. Minnesota’s state Medicaid program expressed interest in Allina Health’s SDOH efforts and used its contracting authority to tie Integrated Health Partnerships payments to it. 
  • Invest time in trust-building. Allina Health established trust with patients and identified opportunities to promote health equity through its AHC Model screening and referral activities and recognized the importance of investing time upfront in relationship building with partners.
  • Develop a structured approach. Taking the time to establish the infrastructure for an effective SDOH program is critical. Allina Health developed a governance model with workgroups under the umbrella of its community health strategic priorities.

Through the AHC Model, Allina Health aimed to build a care model that improves health and equity for communities beyond the AHC Model.

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