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Health Care Impacts Of Resource Navigation For Health-Related Social Needs In The Accountable Health Communities Model: Study examines the health care impacts of resource navigation for health-related social needs within the Accountable Health Communities model
Abstract
Social determinants of health can adversely affect health and therefore lead to poor health care outcomes. When it launched in 2017, the Accountable Health Communities (AHC) Model was at the forefront of US health policy initiatives seeking to address social determinants of health. The AHC Model, sponsored by the Centers for Medicare and Medicaid Services, screened Medicare and Medicaid beneficiaries for health-related social needs and offered eligible beneficiaries assistance in connecting with community services. This study used data from the period 2015-21 to test whether the model had impacts on health care spending and use. Findings show statistically significant reductions in emergency department visits for both Medicaid and fee-for-service Medicare beneficiaries. Impacts on other outcomes were not statistically significant, but low statistical power may have limited our ability to detect model effects. Interviews with AHC Model participants who were offered navigation services to help them find community-based resources suggested that navigation services could have directly affected the way in which beneficiaries engage with the health care system, leading them to be more proactive in seeking appropriate care. Collectively, findings provide mixed evidence that engaging with beneficiaries who have health-related social needs can affect health care outcomes.
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Prior research has shown variable health care utilization and cost outcomes among patients receiving health-related social needs assistance.
“As prior research has demonstrated variable health care utilization and cost outcomes among patients receiving HRSN assistance within national and local studies,30–32”
From Food Insecurity Screening and Intervention Strategies in Pediatric Primary Care Practices: A Mixed Methods Study (2026) · cites this paper as [31]
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Metadata
- Authors
- Parish, W., Beil, H., He, F., D’Arcangelo, N., Romaire, M., Rojas-Smith, L., & Haber, S. G.
- Affiliations
- RTI International (US)
- Lucia Rojas-Smith, RTI International, Washington, D.C.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2023-06-01
- Volume
- 42
- Issue
- 6
- Pages
- 822-831
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W4376868301
- Cited by
- 40
- References
- 15
- Citations by year
- 2026: 6 · 2025: 18 · 2024: 12 · 2023: 4
- FWCI
- 8.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- health-related social needs, social determinants of health, emergency department visits, Medicaid beneficiaries, Medicare beneficiaries, health care spending, health care utilization, health policy evaluation
- MeSH terms
- Aged, Delivery of Health Care, Health Expenditures, Medicare, Humans, Medicaid, United States, Fee-for-Service Plans
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