Healthify Blog

Bringing Coordinated Care to Rural Communities

In the foothills of the Appalachian Mountains, in the southeast corner of Kentucky sits a once-booming coal center. Today, Letcher County, home to 25,000 residents, is distressed; the community faces high poverty rates and poor health.

The story of Letcher County is all too familiar across rural America. About one out of five Americans, 60 million in total, live in places like Letcher County. Rural America has been hit hard in recent years. For half a century, coal mining and other industrial sectors drove the rural economy, and as a result these regions contributed greatly to our country’s overall economic health.

Topics: community-based organizations coordinated care

The Price of Fitness: Combating Obesity in Low-Income Populations

Like clockwork, the ball drops in Times Square on New Years’ Eve, and millions of Americans resolve to lose weight. They say, “This time, I’m motivated.” But, for many low-income Americans, it is not a lack of drive that keeps them from losing weight, but a lack of affordability and accessibility.

Topics: Healthify community-based organizations

The Role of Community-Based Organizations in Supporting Value-Based Care

In the transition to value-based care, providers today are being asked to do something they are not use to—caring for patients outside of the clinical setting. With incentives aligned on reducing utilization and decreasing re admissions, providers must now focus on prevention and wellness, in addition to delivering quality acute care.

This task, however, of managing population health is easier said than done. Given the many social circumstances that impact an individual’s care, it is often difficult to ensure positive outcomes after discharge.  Without active monitoring, providers can’t always guarantee patients follow the recommend care plan. And they can’t always verify that patients are being discharged to a place with suitable conditions for recovery.

Topics: community-based organizations coordinated care value-based care