Networks of Support Help Patients Navigate Complex Systems
This publication examines how a Minnesota health system empowers patients by giving them resources to address their health-related social needs.
Thousands of Allina patients have received screening and referrals to community resources to address their health-related social needs. The program started under the auspices of the Accountable Health Communities Model, a demonstration sponsored by the Centers for Medicare and Medicaid Services (CMS).
CMS officials say that the agency is drawing on lessons from the Accountable Health Communities Model to build social needs assessment and navigation into other programs, including Medicare accountable care organizations, Medicare Advantage plans, and quality measurement of hospitals and physician practices.