Centers for Medicare and Medicaid Innovation released Accountable Health Communities (AHC) Model Evaluation – Second Evaluation Report


In 2017, the Center for Medicare & Medicaid Innovation (Innovation Center) launched the Accountable Health Communities (AHC) Model to test whether connecting Medicare and Medicaid beneficiaries to community resources and addressing health-related social needs (HRSNs)—adverse social conditions that affect health and health care expenditures—can improve health outcomes and reduce costs. The Innovation Center funded entities known as bridge organizations to implement the AHC Model in communities across the country in collaboration with clinical delivery sites (CDSs), community service providers (CSPs), state Medicaid agencies, and other community stakeholders. The Innovation Center originally funded 32 bridge organizations, but four voluntarily terminated their participation early on. The AHC Model’s initial 5-year period of performance concluded in April 2022, but 18 bridge organizations received no-cost extensions to continue model activities for an additional 3 to 12 months.

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