Integrated Health and Social Care in the United States: A Decade of Policy Progress

Introduction: Over the last decade in the United States (US), the burden of chronic disease, health care costs, and fragmented care delivery have increased at alarming rates. To address these challenges, policymakers have prioritized new payment and delivery models to incentivize better integrated h...

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Autores principales:	Sahil Sandhu, Anu Sharma, Rushina Cholera, Janet Prvu Bettger
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2021
Materias:	integrated care health care reform health policy medicaid social determinants of health Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/48d74c6c929a49bdb636ef2fd008a5e0
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spelling	oai:doaj.org-article:48d74c6c929a49bdb636ef2fd008a5e02021-11-08T08:08:08ZIntegrated Health and Social Care in the United States: A Decade of Policy Progress1568-415610.5334/ijic.5687https://doaj.org/article/48d74c6c929a49bdb636ef2fd008a5e02021-10-01T00:00:00Zhttps://www.ijic.org/articles/5687https://doaj.org/toc/1568-4156Introduction: Over the last decade in the United States (US), the burden of chronic disease, health care costs, and fragmented care delivery have increased at alarming rates. To address these challenges, policymakers have prioritized new payment and delivery models to incentivize better integrated health and social services. Policy practice: This paper outlines three major national and state policy initiatives to improve integrated health and social care over the last ten years in the US, with a focus on the Medicaid public insurance program for Americans with low incomes. Activities supported by these initiatives include screening patients for social risks in primary care clinics; building new cross-sector collaborations; financing social care with healthcare dollars; and sharing data across health, social and community services. Stakeholders from the private sector, including health systems and insurers, have partnered to advance and scale these initiatives. This paper describes the implementation and effectiveness of such efforts, and lessons learned from translating policy to practice. Discussion and Conclusion: National policies have catalyzed initiatives to test new integrated health and social care models, with the ultimate goal of improving population health and decreasing costs. Preliminary findings demonstrated the need for validated measures of social risk, engagement across levels of organizational leadership and frontline staff, and greater flexibility from national policymakers in order to align incentives across sectors.Sahil SandhuAnu SharmaRushina CholeraJanet Prvu BettgerUbiquity Pressarticleintegrated carehealth care reformhealth policymedicaidsocial determinants of healthMedicine (General)R5-920ENInternational Journal of Integrated Care, Vol 21, Iss S2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	integrated care health care reform health policy medicaid social determinants of health Medicine (General) R5-920
spellingShingle	integrated care health care reform health policy medicaid social determinants of health Medicine (General) R5-920 Sahil Sandhu Anu Sharma Rushina Cholera Janet Prvu Bettger Integrated Health and Social Care in the United States: A Decade of Policy Progress
description	Introduction: Over the last decade in the United States (US), the burden of chronic disease, health care costs, and fragmented care delivery have increased at alarming rates. To address these challenges, policymakers have prioritized new payment and delivery models to incentivize better integrated health and social services. Policy practice: This paper outlines three major national and state policy initiatives to improve integrated health and social care over the last ten years in the US, with a focus on the Medicaid public insurance program for Americans with low incomes. Activities supported by these initiatives include screening patients for social risks in primary care clinics; building new cross-sector collaborations; financing social care with healthcare dollars; and sharing data across health, social and community services. Stakeholders from the private sector, including health systems and insurers, have partnered to advance and scale these initiatives. This paper describes the implementation and effectiveness of such efforts, and lessons learned from translating policy to practice. Discussion and Conclusion: National policies have catalyzed initiatives to test new integrated health and social care models, with the ultimate goal of improving population health and decreasing costs. Preliminary findings demonstrated the need for validated measures of social risk, engagement across levels of organizational leadership and frontline staff, and greater flexibility from national policymakers in order to align incentives across sectors.
format	article
author	Sahil Sandhu Anu Sharma Rushina Cholera Janet Prvu Bettger
author_facet	Sahil Sandhu Anu Sharma Rushina Cholera Janet Prvu Bettger
author_sort	Sahil Sandhu
title	Integrated Health and Social Care in the United States: A Decade of Policy Progress
title_short	Integrated Health and Social Care in the United States: A Decade of Policy Progress
title_full	Integrated Health and Social Care in the United States: A Decade of Policy Progress
title_fullStr	Integrated Health and Social Care in the United States: A Decade of Policy Progress
title_full_unstemmed	Integrated Health and Social Care in the United States: A Decade of Policy Progress
title_sort	integrated health and social care in the united states: a decade of policy progress
publisher	Ubiquity Press
publishDate	2021
url	https://doaj.org/article/48d74c6c929a49bdb636ef2fd008a5e0
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Integrated Health and Social Care in the United States: A Decade of Policy Progress

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