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Mission Health Partners: A Community-Based Social Determinants Driven Accountable Care Organization.

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Mission Health Partners Accountable Care Organization improves member outcomes by addressing social determinants of health. Their strategy uses a network of providers and a referral tracking system to manage resources effectively.

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Area of Science:

  • Healthcare Management
  • Population Health
  • Social Determinants of Health

Background:

  • Accountable Care Organizations (ACOs) focus on improving patient outcomes and reducing costs.
  • Addressing social determinants of health (SDOH) is increasingly recognized as crucial for population health management.
  • Limited resources necessitate efficient strategies for meeting member needs related to SDOH.

Purpose of the Study:

  • To outline the population health strategy of Mission Health Partners ACO.
  • To describe how addressing SDOH gaps can improve member outcomes.
  • To explain the operational model for resource allocation and service delivery.

Main Methods:

  • Implementing a population health strategy focused on SDOH.
  • Establishing a network of service providers.
  • Developing a referral and tracking process for member needs.

Main Results:

  • The strategy aims to improve health outcomes by targeting social determinants of health.
  • A streamlined process for referrals and tracking facilitates resource management.
  • Enhanced coordination between ACOs and service providers is achieved.

Conclusions:

  • Addressing SDOH is integral to improving population health outcomes within ACOs.
  • A structured approach to referrals and resource management is effective.
  • Mission Health Partners ACO's strategy provides a model for addressing member social needs.