States Develop New Approaches to Improve Population Health Through Accountable Health Models
Authors: Amy Clary, Tina Kartika, Jill Rosenthal
Publication Year: 2018
Last Updated: 2019-10-07 13:16:16
Journal: National Academy for State Health Policy
Keywords: accountable health models, sustainable funding, braiding and blending funding, value-based payment, Medicaid managed care contracting, social determinants of health
Short Abstract:
In October 2017, the National Academy for State Health Policy (NASHP) convened state health officials representing 10 state accountable health models to discuss strategies for using accountable health structures to promote population health. Participants also discussed strategies to assess these structures’ impact on health, determine their return on investment, and develop sustainable funding approaches.
To improve population health and health equity, states are working across Medicaid, public health, and other agencies to develop accountable health structures. State accountable health models — both currently operating and those in development — fall along a continuum. All of them promote healthy communities through community partnerships, but some contract with Medicaid agencies to provide health care services directly to individual Medicaid beneficiaries, while others focus only on community-based interventions.
- Accountable health structures are community-based entities that invest in, or are accountable for, population health improvement.
- State accountable health entities can take a range of forms. Some — such as Health Equity Zones — focus only on community-based interventions, while others — such as accountable care and coordinated care organizations — contract with Medicaid to provide direct clinical care.
This brief highlights policy levers, performance measurement strategies, and sustainable financing options that states can use to support accountable health structures.
Abstract:
This brief highlights policy levers, performance measurement strategies, and sustainable financing options that states can use to support accountable health structures. State accountable health entities can take a range of forms. Some — such as Health Equity Zones — focus only on community-based interventions, while others — such as accountable care and coordinated care organizations — contract with Medicaid to provide direct clinical care.
In October 2017, the National Academy for State Health Policy (NASHP) convened state health officials representing 10 state accountable health models to discuss strategies for using accountable health structures to promote population health. Participants also discussed strategies to assess these structures’ impact on health, determine their return on investment, and develop sustainable funding approaches.
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Funding: Robert Wood Johnson Foundation
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