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Capturing Value in Social Health: Lessons in Developing the Business Case for Social Health Integration in Primary Care

Year:
2022
State:
NatDoc: National Document
Website Link:
Publicly Available:
Yes
Billing and Reimbursement:
Certification:
CHW role scope of practice, Competencies
Evidence Generation:
Documentation of how CHWs can work within care teams, Results from pilots studies etc. that aren't published in formal literature
Policy:
National guidance especially in new policy areas
Sustainable Financing:​
Expand evidence base, Documentation of how CHWs can work within care teams, ROI and bundled payment successes/challenges
Workforce Development:

Summary

The integration of social health interventions, including screening patients for unmet social needs and linking them with services and other supports, requires long-term funding. The goal of this analysis is to develop a practical approach for business case analysis to support the spread and sustainability of social health interventions in varied institutional and market settings. Analysis of findings from the Health Leads Collaborative to Advance Social Health Integration (CASHI), in which 12 primary care teams from across the country received coaching to develop business cases for their social health interventions. The analysis provided insights into cost drivers of social health interventions, opportunities for efficiencies, and approaches to spreading these interventions to new sites or populations. Quantifying the financial benefits of social health integration helped institutions see how they could succeed under value-based contracts.