Putting the puzzle pieces together: Adapting a population health infrastructure to Medicaid risk.
Healthc (Amst)
; 8(1): 100407, 2020 Mar.
Article
em En
| MEDLINE
| ID: mdl-32059977
ABSTRACT
As Accountable Care Organizations (ACOs) become more common within state Medicaid programs, health systems are increasingly facing the challenge of developing a population health approach for this population. This case report considers how health systems with a mature population health infrastructure evolve, adapt, and expand programs to take on Medicaid risk and better serve the Medicaid population. Four key implementation lessons were garnered from Partners HealthCare's experience that may be relevant for organizations undergoing similar transformations 1) A significant portion of a health system's existing population health strategy can be applied to the Medicaid risk population; 2) Leveraging existing population health infrastructure can assist in adapting and adding programs; 3) Additional attention needs to be paid to behavioral health, substance use, and social determinants of health needs across existing and new programing; 4) Patients need to be engaged outside of the traditional primary care setting, including in the emergency department, and through home and community based care.
Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
/
Equidade_desigualdade
Bases de dados:
MEDLINE
Assunto principal:
Gestão de Riscos
/
Medicaid
/
Organizações de Assistência Responsáveis
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Healthc (Amst)
Ano de publicação:
2020
Tipo de documento:
Article