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Leveraging community partnerships and digital health in primary care settings to inform the Centers for Medicare and Medicaid Innovation Center's prevention strategy

In formation

A committee of primary care experts will review the evidence and make recommendations in a series of two reports. The first report will examine how to best establish and maintain community-clinical partnerships to help improve chronic disease prevention and management in primary care settings, including accountable care organizations. The second report will examine the risks and benefits and how to best use of digital applications and wearable technologies across the lifespan to improve chronic disease prevention and management in primary care settings.

Description

The National Academies of Sciences, Engineering, and Medicine will appoint a committee of experts in primary care to produce 2 brief reports with findings, conclusions, and recommendations to address questions that inform the Centers for Medicare and Medicaid Innovation Center’s prevention strategy.
Specifically, in Report 1, the committee will address the following questions about community-clinical partnerships for whole health:
1. How can health care organizations effectively and sustainably build community-clinical partnerships and integrate them into primary care delivery? How can federal support facilitate these partnerships?
2. What are the financial and opportunity costs to consider when establishing and maintaining these partnerships?
3. What are some examples of effective existing partnership models that can potentially be scaled with federal support?
4. What are the unique barriers and facilitators to consider when establishing community-clinical partnerships in for Accountable Care Organizations?
In Report 2, the committee will address the following questions about digital health for prevention and chronic disease management:
1. What are the risks and opportunities with incorporating wearables and app-based care in primary care to drive behavior change to prevent and manage chronic disease across the lifespan? What are specific payment and policy considerations that will need to be addressed to facilitate this?
2. What is the evidence regarding effectively engaging patients with virtual, technology-enabled care across different age groups in primary care settings?
3. Are there ways for federal demonstrations to effectively incorporate remote monitoring delivered via phone apps for older adults with limited technology literacy or access? What are the unique considerations for younger adults, families, and children?

Contributors

Sponsors

American Academy of Family Physicians

American Academy of Nursing

American Board of Family Medicine

American College of Physicians

American Geriatrics Society

Arnold Ventures

California Health Care Foundation

Commonwealth Fund

Healing Works Foundation

Milbank Memorial Fund

National League for Nursing

New York State Health Foundation

Samueli Foundation

Society for General Internal Medicine

Staff

Marc Meisnere

Lead

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