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This case study highlights VAAACares, a statewide Area Agency on Aging collaboration delivering comprehensive care coordination services for insurers and health systems. It relies on dedicated certified health coaches to effectively transition patients out of the hospital and facilitate with the skills and confidence to manage and control their health problems.
VAAACares illustrates that aligning takes on many forms. This grew from an opportunity created by federal policy and has been sustained due to its proven effectiveness.
Aligning Systems for Health: Health Care + Public Health + Social Services, supported by the Robert Wood Johnson Foundation and managed by the Georgia Health Policy Center, is focused on learning from stakeholders across the nation about effective ways to align these three sectors to better meet people’s goals and needs.