Scaling and Spreading Innovations from the Accountable Health Communities Model

Scaling and Spreading Innovations from the Accountable Health Communities Model

Published: Nov 29, 2023
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

Olivia Chan

Clare Hogan

Mario Gruszczynski

Key Findings

  • To scale and spread efforts to address HRSNs, AHC awardees developed strategies focused on four drivers of lasting impact: data collection and use, strategic partnerships, organizational capacity, and health systems transformation and financing.
  • Health care systems, payers, and community-based organizations seeking to initiate and support HRSN screening, referral, and navigation in clinical settings can consider the drivers of lasting impact and AHC awardees’ related strategies.

Drawing from AHC awardees sustainability plans, this resource highlights promising strategies and approaches to expanding HRSN screening, referral, and navigation efforts after AHC.

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