CHA News Article

Proposals Sought for California Accountable Communities for Health Initiative
Applications due April 29

The California Health and Human Services Agency and Community Partners, with support from a consortium of funders, have released the attached request for proposals to support up to six accountable communities for health (ACHs) through the California Accountable Communities for Health Initiative (CACHI). ACHs seek to bring together community and health care stakeholders to advance a common health goal. This model builds on prior efforts to coordinate and integrate various organizations, programs and services by linking their activities and reinforcing a portfolio of interventions across five key domains – clinical services; community programs and social services; community-clinical linkages; public policy and system change; and environments.

The CACHI will assess the feasibility, effectiveness and potential value of a more expansive, connected and prevention-oriented health system. It will support several activities, including grants, technical assistance and research support, learning communities, evaluation, and synergy with the federal Centers for Medicare & Medicaid Services (CMS) Innovation Center Accountable Health Communities Initiative. The CACHI is a three-year initiative; this request solicits grant proposals for the first year.

Timeline

Request for Proposals Released January 22, 2016
Bidder’s Conference Call February 18, 2016 at 11 a.m.
Application Due Date April 29, 2016
Site Visits for Finalists 3rd and 4th weeks of May
Notice of Awards June 10, 2016
Start Date July 1, 2016
Term of Grant July 1, 2016 – June 30, 2017

Background

In 2013, California received a CMS Innovation State Innovation Model Design Grant to develop a plan, using the Let’s Get Healthy California report as a foundation, for implementing significant health system and payment reforms. This plan, the State Health Care Innovation Plan, was prepared with input from key state health and health care leaders and outlines a vision in which “California is home to high quality, efficient, seamless health systems throughout the state, which improve health outcomes for all Californians.” The plan includes four core initiatives and six building blocks to achieve these strategies, one of which is ACHs.

The CACHI was designed to implement a new population health model that would link health care systems, community resources and social services with primary prevention approaches in a given geographic area to address a particular health need — such as chronic disease — on a community-wide basis.

As noted in the request, “Although an ACH would incorporate accountability as a key driver of change, it is distinguished from an Accountable Care Organization in two critical ways. As the name implies, an ACH’s focus is on 1) health, wellness, equity, and prevention—not just care; and 2) on an entire community, as opposed to just an organization’s enrollees or panel.”

To continue efforts begun during the development of the Innovation Plan, the state formed an Accountable Communities for Health Work Group, composed of representatives from community clinics, health plans, hospitals, public health, prevention, academia and philanthropy, as well as the California Department of Public Health and other state departments. The work group was charged with developing recommendations for the design and implementation of the ACH program as envisioned in the Innovation Plan; its final report is available online.

A bidders’ conference for interested applicants will take place Feb. 18 from 11 a.m. to noon (PT). Registration is available online. Please submit questions to CACHImgr@CommunityPartners.org. Additional information, including instructions for submission, is available on the Community Partners website

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