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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Health Care Impacts Of Resource Navigation For Health-Related Social Needs In The Accountable Health Communities

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The Accountable Health Communities (AHC) Model reduced emergency department visits for Medicaid and Medicare beneficiaries. While other impacts were not significant, navigation services may encourage proactive healthcare engagement.

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Area of Science:

  • Health Services Research
  • Public Health Policy
  • Social Determinants of Health

Background:

  • Social determinants of health significantly impact health outcomes.
  • The Accountable Health Communities (AHC) Model was introduced in 2017 to address these needs.
  • The AHC Model connects beneficiaries with community services.

Purpose of the Study:

  • To evaluate the AHC Model's impact on healthcare spending and utilization.
  • To assess the effectiveness of addressing health-related social needs.

Main Methods:

  • Analysis of data from 2015-2021.
  • Examined healthcare utilization and spending for Medicare and Medicaid beneficiaries.
  • Included qualitative insights from participant interviews.

Main Results:

  • Statistically significant reduction in emergency department visits for Medicaid and fee-for-service Medicare beneficiaries.
  • No statistically significant impacts observed on other healthcare utilization or spending metrics.
  • Low statistical power may have limited detection of effects on some outcomes.

Conclusions:

  • The AHC Model demonstrated a positive impact on reducing emergency department visits.
  • Navigation services may encourage beneficiaries to engage more proactively with healthcare.
  • Further research is needed to fully understand the model's broader effects on health outcomes.