The Centers for Medicare and Medicaid Services (CMS) awarded Danbury Hospital a five-year, $4.5 million grant to establish the CMS Accountable Health Communities Model, which aims to address health-related social needs of Medicare and Medicaid beneficiaries.
Danbury Hospital, in conjunction with Value Care Alliance hospitals, Federally Qualified Health Centers (FQHCs), and behavioral health and community organizations, has been chosen as one of 32 health systems in the nation to serve as a model for advanced integrated health services for Medicare and Medicaid patients.
Danbury Hospital partnered with Norwalk, Griffin, Middlesex, and St. Vincent's hospitals in developing this proposal, and will collaborate in expanding the model throughout their respective service areas. Danbury Hospital, part of the Western Connecticut Health Network (WCHN), which includes New Milford and Norwalk Hospitals, will serve as the bridge organization for this collaboration.
The Value Care Alliance hospitals and a consortium of health and community service providers created the Connecticut Coalition to Align Systems and Connect People with Services (CT CAPS) Program to expand existing interdisciplinary collaborations and to improve alignment between clinical and community service providers. WCHN, Griffin, St. Vincent's, and Middlesex hospitals are partners in the Value Care Alliance, the largest collaboration of independent healthcare providers in Connecticut serving approximately 1.3 million patients in their combined communities.
CT CAPS will screen 75,000 Medicare and Medicaid beneficiaries and direct them to appropriate services based on needs such as transportation, housing, food insecurity, access to utilities and domestic violence. The CT CAPS service area includes a diverse cross-section of demographic and socioeconomic groupings, including elderly, immigrant and low income.
Health-related social needs, including hunger, homelessness, and poverty increase patients' risk of developing chronic health conditions and limit their ability to adequately manage these conditions, said Dr. Robert J. Carr, WCHN's vice president for clinical transformation.
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