Health Affairs May 18, 2023
In 2017, the Center for Medicare & Medicaid Innovation (CMMI) launched the Accountable Health Communities (AHC) Model to test the impact of screening and referrals for health-related social service needs on key outcomes including health care spending and avoidable use of medical services. Two recent analyses of AHC data show both that navigation had impressive effects and that AHC did not go far enough.
Effective navigation needs to be person-centered, including more active and long-term approaches that support every step necessary to address an individual’s needs and priorities, rather than merely an enhanced referral mechanism. As critically, the social service sector requires significantly more resources if it is to have sufficient capacity to meet demand and the ability to partner...