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The United States health care system is undergoing a major transition from volume-based to value-based care. In California, health care pilots and initiatives offer financial incentives to clinics, hospitals, and health plans to accelerate this transition in order to better serve the state’s nearly 14 million safety-net patients.

Primed: Medicaid Pilots Open Door for Innovation in California

Safety-net organizations must succeed in California’s new Medicaid incentive programs in order to remain financially solvent. To carry out these pilots, providers and plans need high-value innovation that engages patients outside of the clinical setting, makes data accessible and usable for all health system staff, and enhances coordination between the health system and its external partners.

Primed: Addressing Social Factors in the Health Care Safety Net

In order to optimize on the value of care rather than the volume of care, health plans and delivery systems are paying greater attention to factors beyond health care that influence a person’s health, such as housing, food access, safety, education, and family stability. If health outcomes are to improve, safety net providers and health plans must to be able to understand the comprehensive needs and circumstances of their patients, and learn to coordinate with complex support systems to make sure those needs are met.

Doing really great work on addressing social determinants means that a diabetic patient would be referred from the homeless shelter to the food bank and to health classes. In an ideal world, we don’t wait until they are in an acute situation to begin identifying relevant social services.

Safety-net public hospital administrator