One of the aims of the Patient Protection and Affordable Care Act (ACA) is to reduce healthcare expenditures by improving population health. Another goal is to address some of the health-related, social factors that impact an individual’s well-being -- also called social determinants of health. One mechanism is incentivizing research and implementing evidenced-based models to improve population health by addressing social determinants.
The Centers for Medicare and Medicaid Services (CMS) Innovation Center was established by the ACA for the purpose of testing innovative payment and service delivery models that reduce program expenditures and improve healthcare quality for Medicare and Medicaid beneficiaries. CMS has acknowledged that many health care costs can stem from social determinants of health that impact beneficiaries. To that end, CMS has announced a funding opportunity for a new model that is designed to address some of these social issues: The Accountable Health Communities (AHC) Model.
This issue brief provides detail on the components of the AHC Model and how organizations can submit proposals for funding to support their work under these components.