The workshop focused on four key topic areas and the related barriers that potentially influence the conditions and collaborations necessary to support non-clinical community-wide population health services. A full report reflecting discussions from the workshop is available here.
Brief descriptions of the projects are below:
- Community First in Hilo, Hawaii is developing a new payment model for emergency department (ED) services that includes a “retainer” to help cover fixed costs while reducing per visit fees, thereby eliminating any incentives to provide more ED visits than appropriate. Coupled with this approach is the development of a medical home for high-needs/high-cost patients to link them to food, shelter, home health supports, and transportation, as needed.
- The Healthcare Improvement Foundation in Philadelphia will incorporate a tool to help identify patients with food insecurity and test interventions to improve access and referrals to community resources, programs, and services. The team will consider how to incorporate related costs for non-medical needs into payment models.
- Washington State’s Washington Health Alliance will focus on the connection between stable housing, health, and health care. While this effort is currently part of Medicaid’s 1115 waiver, the team would explore scenarios related to governance, decision-making, and funding that would not be dependent on state or federal funds.
- With Cincinnati being one of the Comprehensive Primary Care Plus sites, the Health Collaborative will focus on how to connect hospitals and primary care providers to community-based resources as they address social support needs. The team is considering various strategies for payment reform.
- The Greater Detroit Area Health Council will focus on aligning health sector services, programs, activities, and community development sector investments. Under this project, leveraging health system and banking industry obligations related to community investment will be a critical component of a financing approach.
The four topic profiles are found below: