Health Policy Matters (HPM) assists ACO partners to identify and enhance referrals to, and coordination of, services that target Social Determinants of Health (SDOH). We also have experience identifying cost-effective strategies to address food insecurity for the low- and moderate-risk population. While the rate of COVID-19 infection is slowing, and more individuals are receiving vaccinations to protect against COVID-19, the social support needs of ACO and BH CP clients are likely to continue to increase.

Goal: The goal of this TA project is to maximize your organizations’ ability to coordinate SDOH-driven services for ACO and BH CP clients with available community-based services.

Objectives:

• Review coordination strategies with existing community-based organizations (CBOs), and identify opportunities to improve such coordination
• Obtain client feedback regarding coordination of care and the provision of social support services
• Identify additional potential partners with whom to coordinate community-based services that address social supports needs and preferences
• Recommend strategies to improve the delivery of services that address SDOH-driven needs among your clients

HPM will work with your organization to understand how your team currently coordinates care for SDOH-related services and will help you to develop/design improved coordination strategies – as well as achieve outcomes – to meet the needs of the populations you serve.

HPM will customize the projects based on the needs of the ACO or CP.

TA VENDOR:

Health Policy Matters

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TA APPLICATION:

Off the Shelf TA Application