PFE4 - Integrating Non-Medical Factors of Health to Enhance Value-Based: A Pathway to Health Access and Sustainability

Session Description: The integration of non-medical factors of health into value-based care models in Community Health Centers (CHCs) is essential for addressing the needs of underserved populations. In this session, distinguished panelists who are leading critical work to advance policy related to reimbursement and payment models will shed light on how using PRAPARE® with value-based care models serves as a pivotal strategy to address unmet social needs.

The session will highlight how by integrating risk stratification into value-based care models, CHCs can more effectively target interventions to high-risk patients, considering not just clinical data but also social factors like housing, food insecurity, and transportation. Panelists will speak about how attribution models further enable CHCs to track patient outcomes and demonstrate the impact of comprehensive care.

Panelists will include representatives from CHCs and PCAs to provide replicable approaches to implementing risk stratification and attribution models to enhance care coordination and improve health outcomes.