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

Sandhu, Sahil; Sharma, Anu Rani; Cholera, Rushina; Bettger, Janet Prvu

doi:10.5334/ijic.5687

Cited by 29 publications

(25 citation statements)

References 52 publications

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“…45 This can be developed from existing routes such as research funding (Korea), 14 or more flexible health funding mechanisms (value-based payments in the USA). 46 In England and Australia, funds have been granted through explicit additional mechanisms (NHS England reimbursement in primary care networks and Australia's Primary Health Networks). 47 48 The coordination of health systems, governments and community-based organisations delivering activities is centrally important.…”

Section: Financing Community Organisations and Societal Partnershipsmentioning

confidence: 99%

Global developments in social prescribing

Morse¹,

et al. 2022

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Social prescribing is an approach that aims to improve health and well-being. It connects individuals to non-clinical services and supports that address social needs, such as those related to loneliness, housing instability and mental health. At the person level, social prescribing can give individuals the knowledge, skills, motivation and confidence to manage their own health and well-being. At the society level, it can facilitate greater collaboration across health, social, and community sectors to promote integrated care and move beyond the traditional biomedical model of health. While the term social prescribing was first popularised in the UK, this practice has become more prevalent and widely publicised internationally over the last decade. This paper aims to illuminate the ways social prescribing has been conceptualised and implemented across 17 countries in Europe, Asia, Australia and North America. We draw from the ‘Beyond the Building Blocks’ framework to describe the essential inputs for adopting social prescribing into policy and practice, related to service delivery; social determinants and household production of health; workforce; leadership and governance; financing, community organisations and societal partnerships; health technology; and information, learning and accountability. Cross-cutting lessons can inform country and regional efforts to tailor social prescribing models to best support local needs.

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Section: Financing Community Organisations and Societal Partnershipsmentioning

confidence: 99%

Global developments in social prescribing

Morse¹,

et al. 2022

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“…73 Similarly, state governments hoped that transitioning from feefor-service to risk-based Medicaid managed care organizations (private insurance companies that receive capitated payments from state Medicaid agencies to provide care for covered members) would also encourage investments in social prescribing initiatives. 31 But limited data are available to evaluate the uptake of social prescribing in Medicaid managed care plans. Previous qualitative research has suggested challenges to uptake include lack of designated funding streams for social care programs and regulatory barriers.…”

Section: Us Modelsmentioning

confidence: 99%

“…Examples are lumpsum payments to pilot social prescribing, contractual requirements to screen patients for social needs, and bonus payments for meeting social prescribing-related quality measures. 31 Little is currently known about the impact of these newer, more targeted financing approaches, or the combination of increased funding flexibility and more targeted approaches. The NHS's explicit reimbursement of link worker roles is likely to drive uptake of social prescribing in England.…”

Section: Cross-country Comparisonmentioning

confidence: 99%

Financing Approaches to Social Prescribing Programs in England and the United States

2022

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The number of social prescribing practices, which aim to link patients with nonmedical services and supports to address patients' social needs, is increasing in both England and the United States.r Traditional health care financing mechanisms were not designed to support social prescribing practices, and flexible payment approaches may not support their widespread adoption.r Policymakers in both countries are shifting toward developing explicit financing streams for social prescribing programs. Consequently, we need an evaluation of them to assess their success in supporting both the acceptance of these programs and their impacts.r Investment in community-based organizations and wider public services will likely be crucial to both the long-term effectiveness and the sustainability of social prescribing. Both England and the United States have long recognized that social determinants of health play a major role in shaping population health and health equity. 1,2 The World

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“…Despite advances in health policy to improve care coordination, primary health care, and integrated health and social care, 8,9 evaluations of cost or cost-effectiveness inclusive of posthospital care are especially limited. In the United States, several payment reforms over the last decade have aimed to improve the organization, delivery, and payment of care after an acute stroke.…”

Section: Costs and Stroke Outcomesmentioning

confidence: 99%

Stroke Care Costs and Cost-Effectiveness to Inform Health Policy

Bettger

Cadilhac

2022

Stroke

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dvances in stroke care policy during 2021 remained influenced by the COVID-19 pandemic, but several notable papers called attention to the costs of stroke care or the cost-effectiveness of options for care. Despite the variation in how costs were measured, estimated, and reported, policy recommendations for resourcing stroke services to support guideline-based care were found. The availability of cost data associated with all facets of stroke care and different perspectives (patients, hospitals, and payors) is increasing, but there are advances still to be made (Figure). This synthesis of a selection of papers published in 2021 on costs and stroke care effectiveness highlights the most recent efforts in examining the intersection of stroke care delivery and financial implications that could inform policy. The attention to appropriately financing stroke care delivery and its infrastructure for optimal quality and outcomes needs to remain at the forefront for decision makers who are responsible for allocating resources.

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

Cited by 29 publications

References 52 publications

Global developments in social prescribing

Global developments in social prescribing

Financing Approaches to Social Prescribing Programs in England and the United States

Stroke Care Costs and Cost-Effectiveness to Inform Health Policy

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