COMMUNITY-BASED ORGANIZATION INTEGRATION IN THE U.S. HEALTHCARE SYSTEM: BUILDING THE BUSINESS CASE

Abstract

As the global population ages, countries and health systems all over the world are struggling to adequately meet the unique and complex care needs of older citizens. In the United States, an increased emphasis on value-based care that will hold them accountable for quality and cost has led health care payers to focus on social services that can keep vulnerable populations out of high-cost, institutional settings. Traditional United States medical systems do not have much experiencing delivering these types of services, however, and the social service agencies that do have experience (such as Area Agencies on Aging) typically do not have contracting, billing, and infrastructure experience necessary to partner effectively with the health care system. The types of services these community based organization deliver include evidence based self management programs, consumer educationm, care transition programs in addition to home and community based long term service supports A new National Aging and Disability Business Center was established to provide training and technical assistance to enhance the business capacity of community-based organizations, positioning them to negotiate, secure, and successfully implement contracts with health care entities. This workshop will provide an overview of the Business Center – its goals, objectives, tools and resources. The symposium will show how this national approach will help these organizations make the business case for reimbursement for services that improve value, i.e, improve health, healthcare at lower per capita costs, Examples of successful partnerships will be described and the value propostion that exists as the result of these linkages.