Montefiore Targets the Social Factors That Drive Up Healthcare Costs
Montefiore’s care management approach includes embedding primary care and HIV care providers in methadone clinics and integrating behavioral health specialists in primary care practices.
Yale New Haven Hospital Homeless Patient Screening Tool
Yale New Haven Hospital asks specific housing-related questions to determine whether patients are homeless.
Sidebar: Screening for Food Insecurity
The American Academy of Pediatrics encourages pediatricians to use a validated two-question screening tool to identify patients who may need help getting food.
Providers Focus on Food Insecurity
Recognizing that food insecurity has a direct impact on health, provider organizations are launching initiatives to address hunger in their communities. When Mountain Comprehensive Health Corporation (MCHC), a federally qualified health center in rural Kentucky, started sending
Addressing Social Determinants of Health: A State Initiative
The Vermont Blueprint for Health is a state-government program that integrates health care with social services with the goal of improving outcomes and controlling costs for patients with chronic conditions.
Incorporating Social Determinants Into Population Health Management
To be able to consistently deliver high-value care for patients with chronic illnesses, healthcare providers must address the social determinants of health that can affect health quality for such patients.
Housing is Healing—and Health Systems Can Help
Eddie Soler, CFO with Adventist Health System-Florida Division, describes the health system's motivation for giving $6 million to a civic initiative to end chronic homelessness.
Summary of CMMI Accountable Health Communities Model
This document provides information on the Center for Medicare & Medicaid Innovation's (CMMI's) three-track Accountable Health Communities Model designed to test whether or not integrating social supports into the delivery system will have a positive impact on health outcomes and expenditures.