Agenda

Return

C. 50

To:	Board of Supervisors
From:	William Walker, M.D., Health Services Director
Date:	May 24, 2016

Contra

Costa

County

Subject:

APPROVE submittal of Grant Application #28-883 from the Center of Medicaid and Medicare Services

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 05/24/2016

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Mary N. Piepho, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

Contact:	Daniel Peddycord 313-6712
cc:	J Pigg M Wilhelm

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: May 24, 2016
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or his designee, to submit, on behalf of the County, to submit Grant Application #28-883 to the Center of Medicaid and Medicare Services in an amount not to exceed $4,510,000 to support County’s Public Health Accountable Health Community (AHC) Project, for the period from January 1, 2017 through December 31, 2021.

FISCAL IMPACT:

Approval of this grant application will result in funding of $4,510,000 from the Center of Medicaid and Medicare Services for the Accountable Health Community (AHC) Project. (No County match required)

BACKGROUND:

The Accountable Health Communities (AHC) model addresses a critical gap between clinical care and community services in the current health care delivery system by testing whether systematically identifying and addressing the health-related social needs of beneficiaries’ impacts total health care costs, improves health, and quality of care. In taking this approach, the Accountable Health Communities model supports the Center for Medicare & Medicaid Service’s (CMS) “better care, smarter spending, and healthier people” approach to improving health care delivery.

The Accountable Health Communities Model is based on emerging evidence that addressing health-related social needs through enhanced clinical-community linkages can improve health outcomes and reduce costs. Unmet health-related social needs, such as food insecurity and inadequate or unstable housing, may increase the risk of developing chronic conditions, reduce an individual’s ability to manage these conditions, increase health care costs, and lead to avoidable health care utilization.

This model will promote clinical-community collaboration through:

Screening of community-dwelling beneficiaries to identify certain unmet health-related social needs;
Referral of community-dwelling beneficiaries to increase awareness of community services;
Provision of navigation services to assist high-risk community-dwelling beneficiaries with accessing community services; and
Encouragement of alignment between clinical and community services to ensure that community services are available and responsive to the needs of community-dwelling beneficiaries.

The County's AHC Project will be a collaborative effort between Contra Costa Regional Medical Center, Contra Costa Health Plan, and the Contra Costa Pubic Health divisions.

CONSEQUENCE OF NEGATIVE ACTION:

If this application is not submitted for approval, the County will not receive funds to identify Medicare and Medicaid beneficiaries who have unmet health-related social needs which could lead to increased in-patient and out-patient visits and related health care costs.

CHILDREN'S IMPACT STATEMENT:

Not applicable.