What Does the AHCM Do?

The Accountable Health Communities Model addresses a critical gap between clinical care and community services in the current health care delivery system by testing whether systematically identifying and addressing the health-related social needs of Medicare and Medicaid beneficiaries’ through screening, referral, and community navigation services will impact health care costs and reduce health care utilization.
An Accountable Health Communities Model (AHCM) grant has been awarded to the Western Colorado community through Rocky Mountain Health Plans.

AHCM Info Sheet

Intro to AHCM Slides AHCM Screening Updates 8/19
AHCM Screening Updates 4/20

WMRHA Regional DOMO Report 2020

AHCM Data Report September 2020

What Will The Grant go Towards?

  • Screening 100,000 Medicare and Medicaid enrollees for basic social needs (food, housing, transportation, utilities and interpersonal violence) and providing accurate referrals for those needs;
  • Providing community-based navigation services to individuals who are identified as needing social supports and who also are utilizing emergency health care services; and,
  • Collectively identifying gaps in basic services in our communities and developing prioritized plans to address those gaps. (WMRHA will lead this efforts and provide support to ensure screening and community navigation is happening in Eagle, Garfield, Pitkin, and Summit counties)

AHCM Resources - English

AHCM Screener English
Care Coordination Resource

Garfield, Pitkin, Eagle Counties Resources
Food Resources
Housing Resources
Transportation Resources
Utilities Resources
Social Isolation Resources
Domestic Violence 
Resources for Connecting with the Community

Summit County Resources
Total Resource Guide

 

AHCM Resources - Spanish

AHCM Screener Spanish
Care Coordination Resource Spanish

Garfield, Pitkin, Eagle Counties Resources
Food Resources Spanish
Housing Resources Spanish
Transportation Resources Spanish
Utilities Resources Spanish
Resources for Connecting to the Community Spanish

Summit County Resources

Total Resource Guide Spanish

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