Social determinants of health contracting with community-based organizations remains a complex and challenging task for payers as the demand for answers grows more pressing. As the industry’s awareness of social determinants of health expands, so does the need for evidence-based solutions. Often, these solutions require health insurers and health systems to contract with community-based organizations…
Humana’s Bold Goal strategy led to a 6.8 percent decrease in the number of unhealthy days for San Antonio members. A previous version listed 8.6 percent as the figure. Humana has partnered with a technology platform and a group of community-based organizations to address social determinants of health for Medicare Advantage members in San Antonio, Texas. Alamo…
Some believe that an ACO’s leadership structure predicts its success. They point to differing savings results for physician-led versus hospital-led ACO shared savings models (MSSPs) to make their case. In particular, they make the argument that future Value-Based Care (VBC) policies should benefit the growth of successful physician-led ACOs, protecting them from policies that force…
The transition to value-based care has expanded the definition of patient wellness to include both physical and social health. As patient care stretches into the community, the healthcare workforce begins to center on the community health worker. Community health workers “are frontline public health workers who have a close understanding of the community they serve,”…