Build on Your “Wins”: The Eastern Virginia Care Transitions Partnership & VAAACares. Bringing Value to Health Care in Virginia

Image of an older white woman in a wheelchair being assisted in her home by 2 middle-aged white women health care workers.

Recent federal and state initiatives have sought to reduce unnecessary readmissions to hospitals and focus on the frequent transitions of care between care settings that patients experience – especially older patients and those with multiple chronic conditions.  There is growing recognition that most root causes of readmission are due to social needs, not clinical needs. …

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ADRC Agility: FREED Center for Independent Living and the Sacramento, CA Area Agency on Aging

image of the side-by-side logos of the FREED Center for Independent Living and the Area Aging on Aging in Sacramento, California. The FREED logo is a graphic of a blue bird flying over green evergreen trees.

The healthcare system in the United States is in a state of transition, as innovations and policy shifts disrupt longstanding practices and move health care providers toward shared accountability for health outcomes and value. New payment structures are spreading financial risk more widely, for example, by introducing new forms of capitation and incentive payments for …

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A Promising Collaboration: Care1st Health Plan and Access to Independence (A2i), San Diego, California

Image of two hands cradling a graphic of a blue house.

In the wake of the shift to accountable and value-based care, and in light of the growing number of older adults and individuals with disabilities, many states are looking to Managed Care Organizations (MCOs) to provide these populations with coordinated health care and long-term services and supports (LTSS). Opportunities now exist in this new environment …

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Bridging Disability and Aging to Maximize Capacity: The Oklahoma Aging and Disability Alliance, LLC

Synergies and collaborations between disability and aging services providers are a natural fit in an integrated health care landscape. Both fields are committed to providing support that keeps older people and those with disabilities safe and comfortable in their homes and communities for as long as possible, and both are facing an increasingly constrained funding …

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St. Barnabas Senior Services: Finding Value in Social Service

logo of St. Barnabas Senior Services. Logo features a drawing of a tree and the tagline, "Live Well. Feel Well. Age Well."

  “[Though] they’re not already part of the health care process, social service agencies must realize they bring value to the table and have that confidence coming into the conversation…You’re already in the community, you’re trusted by the community, you know the community better than health care plans and private contractors…that trust is of tremendous value.” …

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The Southern Maine Agency on Aging: a Patient Approach Nets Multiple Contracts

Professional African American Woman Heathcare Worker assisting an older African American woman in her home

The Southern Maine Agency on Aging (SMAA), led by its Chief Executive Officer, Larry Gross, has read the writing on the wall, recognizing that traditional government and foundational funding sources for community-based organizations (CBOs) are stagnating at a time of increased client demand, constraining service delivery and organizational sustainability. To respond to this changing environment, …

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