New York State, as a part of its Medicaid Part 1115 Demonstration Waiver, is in search of to combine healthcare and social care through newly created networks. The $500 million program is one element of a $7.5 billion three-year waiver with practically $6 billion of federal funding.
The Syracuse-based HealtheConnections well being info alternate is partnering with three social care networks (SCNs) throughout the Hudson Valley, Southern Tier, and Central New York areas to handle health-related social wants (HRSNs): Hudson Valley Care Coalition, Care Compass Community, and Wholesome Alliance. Every of those SCNs has contracted with UniteUs, a social care coordination firm, to host their HRSN screening and referral platform for streamlined coordination and efficient knowledge assortment.
Working with the New York eHealth Collaborative (NYeC) and the 5 different Certified Entities of the Statewide Well being Info Community for New York (SHIN-NY), HealtheConnections is taking part in coordinated efforts to alternate HRSN knowledge between the SCNs and the SHIN-NY knowledge lake.
Utilizing artificial knowledge, HealtheConnections and companions throughout the SHIN-NY not too long ago accomplished a testing part to determine dependable processes for seamless knowledge move between the SCNs and the SHIN-NY knowledge lake. The subsequent part can be working immediately with the three SCNs and UniteUs to alternate their HRSN knowledge.
HealtheConnections mentioned it’ll additionally work with hospital-based and ambulatory practices inside its service space to gather knowledge from HRSN screenings performed inside their techniques. All HRSN knowledge collected by way of these efforts can be accessible by way of the HealtheConnections platform for question, which ought to permit for extra complete insights for care suppliers with out the necessity for extra instruments or techniques.
HealtheConnections’ well being info alternate covers 26 counties in New York State, and surrounding states, supporting greater than 11,000 physicians and the hundreds of thousands of sufferers they serve.
The Medicaid waiver program will search to handle well being disparities in low-income communities by leveraging federal funding to facilitate Medicaid members entry to dietary meals, housing helps, transportation and different social providers. By integrating social care and well being care, this program advances a key initiative beneath the New York Well being Fairness Reform (NYHER) waiver modification.
The SCNs can be core to facilitating the supply of health-related social wants, together with vitamin, housing helps, transportation, and case administration for eligible Medicaid members, with the purpose of addressing well being disparities and bettering inhabitants well being.
Amongst their different objectives, the SCNs will search to create a extra accessible buyer expertise for Medicaid Members in search of HRSN providers by way of social care navigation and closed loop referrals. The additionally plan to construct the capability of community-based organizations (CBOs) to supply high-quality HRSN providers and to handle new or elevated administrative obligations by way of capacity-building and dependable funding streams.