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Publication

Payment Structures that Support Social Care Integration with Clinical Care: Social Deprivation Indices and Novel Payment Models

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This perspective article published in the American Journal of Preventive Medicine focuses on four models employed both internationally and domestically to outline the implementation, successes, limitations, and research needed to support national application of social determinants of health models.

Currently, there are a handful of international and regional U.S. models that address social determinants of health with dedicated financial support. The article describes:

  • National programs in New Zealand and the UK that use research-derived, small-area social determinants of health indices to standardize adjustment for clinical and social services to account for needs
  • The Massachusetts Managed Care accountable care organization payment adjustments and Hennepin Healthcare System (Minnesota) are described as local options that address individual and community social determinants of health.

All four examples use area-based risk and some blend area risk with patient-level characteristics to adjust health care payments and resource allocation.

This article is part of a supplement entitled “Identifying and Intervening on Social Needs in Clinical Settings: Evidence and Evidence Gaps,” which is sponsored by the Agency for Healthcare Research and Quality of the U.S. Department of Health and Human Services, Kaiser Permanente, and the Robert Wood Johnson Foundation.

Publication

A Theory of Change for Aligning Health Care, Public Health, and Social Services in the Time of COVID-19

This article, published by Georgia Health Policy Center researchers in the American Journal of Public Health, highlights how the core components of cross-sector alignment along with the principles of community voice and health equity can be used to design interactions among health care, public health, and social services that better meet the goals and needs of the people and communities they serve in a way that is built to last.

Webinar

Theory of Change Charette

This webinar features an overview of RWJF's Cross-Sector Alignment Theory of Change and recaps stakeholder input into how the Theory of Change can better support the work of those implementing cross-sector alignment.

Brief

Making Aligning Work: An Early Look at COVID-19’s Impact on Cross-Sector Alignment

This brief–part of the Aligning Systems for Health's Making Aligning Work series–focuses on very early observations about how the COVID-19 pandemic impacts communities aligning health care, public health, and social services, with a focus on the components of the Cross-Sector Alignment Theory of Change — internal capacity; urgency; shared purpose, data, financing, and governance; community engagement; and a focus on equity.