decisionhealth Newsletters, Part B News - 2016 Issue 1 (January)
New community care program offers easy entry into accountable care model
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Article Overview
This article explains a new CMS/CMMI community care pilot that connects clinical practices with local social and support services through consortium-based participation. It covers the program structure, participant roles, application timing, data exchange considerations, and operational issues practices should review if they want to join or collaborate with a bridge organization. The piece is aimed at physicians, practice managers, compliance staff, and other health care organizations evaluating whether the model fits their operations.
Why This Topic Matters
The article matters because it outlines a new federal payment-and-delivery experiment that may affect referral patterns, data sharing, and collaborative relationships between medical practices and community partners. It is useful for organizations assessing whether to participate directly, partner with a consortium, or prepare operationally for multi-entity care coordination.
Article Sections
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Accountable care
Introduces the pilot program and explains how it fits within broader CMS efforts to support coordinated care. It also describes the overall structure of participating organizations and service delivery roles.
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How to participate
Summarizes the participation process for organizations interested in joining the pilot. It addresses application timing, participation pathways, and related operational expectations.
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No grant, but more patients
Discusses the practical implications for practices that join a consortium rather than lead one. It covers potential referral activity, participant scale, and the types of workload shifts practices may experience.
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What you’ll need to do
Outlines preparation steps for interested practices and organizations. It focuses on relationship-building, data readiness, and administrative issues to review before participation.
What You Will Learn
- How the community care pilot is organized at a high level
- What roles participating providers and organizations may take
- What timing and preparation issues are associated with participation
- What operational and data-sharing topics practices should consider before joining
- How the model relates broadly to other accountable care initiatives
Who Should Read This
- Physicians
- Practice managers
- Healthcare administrators
- Compliance and privacy staff
- Hospital and health system leaders
- Community health organizations
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