Advancing Screening, Referral, and Navigation Beyond the AHC Model

Advancing Screening, Referral, and Navigation Beyond the AHC Model

November 2021 AHC Meeting Summary
Published: Feb 01, 2022
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

Key Findings
  • Attendees of the meeting included representatives from 28 bridge organizations, community service providers, and state Medicaid agencies, in addition to CMS leaders and contractors.
  • In a Day 1 session, the Center for Health Care Strategies, CMCS, and Oregon Health & Science University (OHSU) discussed approaches for bridge organizations to engage state Medicaid agencies to address HRSNs.
  • During the Day 2 Session, bridge organizations discussed using strategies such as prioritizing funding that will have the largest impact and leveraging the experience of partners to address social needs to build a business to address HRSNs.

On November 9-10, 2021, CMS held the final virtual AHC Meeting, Sustainability Beyond the AHC Model. The meeting allowed for bridge organizations to discuss strategies for sustaining screening and navigation services beyond the AHC Model Cooperative Agreement period. The meeting also featured speakers that emphasized the importance of addressing health equity and community partnerships.

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