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DiscussionSpecial Reports

Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health

Renuka Tipirneni, Katherine Diaz Vickery and Edward P. Ehlinger
The Annals of Family Medicine July 2015, 13 (4) 367-369; DOI: https://doi.org/10.1370/afm.1813
Renuka Tipirneni
1Robert Wood Johnson Foundation Clinical Scholars Program, University of Michigan, Ann Arbor, Michigan
2Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan
3Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, Michigan
MD, MSc
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  • For correspondence: rtipirne@med.umich.edu
Katherine Diaz Vickery
4Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota
5Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota
MD, MSc
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Edward P. Ehlinger
6Minnesota Department of Health, St. Paul, Minnesota
MD, MSPH
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  • Accountable Communities Health: A Promising Health Care Delivery Model
    Karen M. Murphy
    Published on: 22 September 2015
  • Published on: (22 September 2015)
    Page navigation anchor for Accountable Communities Health: A Promising Health Care Delivery Model
    Accountable Communities Health: A Promising Health Care Delivery Model
    • Karen M. Murphy, Secretary of Health
    • Other Contributors:

    Dr. Tipirneni and her colleagues describe an important model of health care delivery that has emerged in the recent era of health care reform: the accountable community for health (ACH). ACHs are able to - in ways accountable care organizations are not - effectively address upstream social determinants of health that impact health outcomes much more significantly than provision of health care services. Partnering with co...

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    Dr. Tipirneni and her colleagues describe an important model of health care delivery that has emerged in the recent era of health care reform: the accountable community for health (ACH). ACHs are able to - in ways accountable care organizations are not - effectively address upstream social determinants of health that impact health outcomes much more significantly than provision of health care services. Partnering with community agencies and public health, ACHs truly address the root causes of poor health, including unstable housing, unemployment, and poor access to nutritious food. We appreciate that Dr. Tipirneni advances the idea of embracing a total health approach in how we design health and health care delivery in our communities. In order to be successful, we must partner with our colleagues in education, business, social service agencies, and public health in order to improve health. Furthermore, as we move toward reimbursement tied to value, rather than volume, it is critically important that we design and test innovative payment methodologies that redistribute reimbursement to address social determinants of health.

    Across the country, providers, insurers, health systems, and state governments are recognizing the value of this new approach. Many states, through the Center for Medicare and Medicaid Innovation (CMMI) State Innovation Model Initiative (SIM) awards are actively engaging multiple stakeholders spanning the health care, public health, and social service sectors to improve the underlying social determinants of health that impact health outcomes. Through a SIM Design Award and in partnership with a wide variety of stakeholders, Pennsylvania is exploring opportunities to strategically deploy resources to improve the health of all populations - rather than a one-size-fits-all approach - that will yield greater impact upon the underlying causes of the commonwealth's most pressing population health challenges.

    We thank Dr. Tipirneni for calling attention to this promising model for health care delivery.

    Karen M. Murphy, PhD, RN, Secretary, Pennsylvania Department of Health

    Lauren S. Hughes, MD, MPH, MSc, FAAFP, Deputy Secretary for Health Innovation, Pennsylvania Department of Health

    Competing interests: None declared

    Show Less
    Competing Interests: None declared.
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The Annals of Family Medicine: 13 (4)
The Annals of Family Medicine: 13 (4)
Vol. 13, Issue 4
July/August 2015
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Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health
Renuka Tipirneni, Katherine Diaz Vickery, Edward P. Ehlinger
The Annals of Family Medicine Jul 2015, 13 (4) 367-369; DOI: 10.1370/afm.1813

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Accountable Communities for Health: Moving From Providing Accountable Care to Creating Health
Renuka Tipirneni, Katherine Diaz Vickery, Edward P. Ehlinger
The Annals of Family Medicine Jul 2015, 13 (4) 367-369; DOI: 10.1370/afm.1813
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Subjects

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