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Aligning in Action: VAAACares
Case Study

Aligning in Action: VAAACares

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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.

Webinar

Welcome to the TEAM: A Toolkit for Everyone Aligning and Measuring

This webinar presents the Toolkit for Everyone Aligning and Measuring (TEAM), a tool designed to help people think about measurement and strategy in their cross-sector health collaboratives.

Brief

Intermediary Organizations Are Urgently Needed to Assist in Modernizing Public Health and Addressing the Drivers of Health in the United States

This issue brief describes the different roles intermediaries can play; provides examples of where they have been used in practice; and identifies the risks, benefits, and possible innovations of intermediaries as well as policy approaches that might facilitate their appropriate use.

Publication

“More Than Just Giving Them a Piece of Paper”: Interviews with Primary Care on Social Needs Referrals to Community-Based Organizations

This publication characterizes referrals to community-based organizations by primary care practices, which are increasingly being used by healthcare organizations to invest in social care.