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Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health
Renuka Tipirneni1, Katherine Diaz Vickery2, Edward P Ehlinger3
1Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan, Ann Arbor, Michigan Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, Michigan rtipirne@med.umich.edu.
Abstract:
Lessons from community-oriented primary care in the United States can offer insights into how we could improve population health by integrating the public health, social service, and health care sectors to form accountable communities for health (ACHs). Unlike traditional accountable care organizations (ACOs) that address population health from a health care perspective, ACHs address health from a community perspective and consider the total investment in health across all sectors. The approach embeds the ACO in a community context where multiple stakeholders come together to share responsibility for tackling multiple determinants of health. ACOs using the ACH model provide a roadmap for embedding health care in communities in a way that uniquely addresses local social determinants of health.
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