The U.S. is the only developed country to spend more on health care services than on social services. Though there is broad acceptance that social factors play a large role in health outcomes, few models exist that link the two processes. A new report from Discern Health offers a framework to align risk and value-based incentives for the health care system with incentives for community-based organizations (CBOs) working to improve social outcomes. This approach could increase collaboration among disparate organizations to improve population health and increase overall value.
Discern produced the report for AcademyHealth’s Payment Reform for Population Health Initiative, funded by the Robert Wood Johnson Foundation. The report offers two risk models, hierarchical and parallel risk, that can be used to define and establish accountability for providers and community entities working together to improve population health. The report addresses revenue-based incentives for performance and provides a proposed measure set relevant for both models. The full paper can be accessed on AcademyHealth’s Payment Reform for Population Health Initiative web site.