This report from the John Snow Research and Training Institute (JSI) describes strategies for financial sustainability for accountable communities for health (ACH), proposed by California as part of its State Innovation Model (SIM).  The report was funded by The California Endowment.

The report identifies key principles for financial sustainability through the formation, implementation, and reinvestment stages:

  • Leadership that creates a center of gravity
  • Collaboration and trust built on transparency
  • Measures because what gets counted counts
  • Investments based on stakeholders being “all in” for mutual benefit

The report then provides detailed recommendations for applying these key principles in each stage of formation, implementation, and reinvestment.  Although California did not receive funding from the Centers for Medicare and Medicaid Services (CMS) for the implementation of its SIM, it is expected that the concept of ACHs will continue to be one that California – and potentially other states – seek to implement through other health care reform initiatives and activities.

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