We’ve seen it before, and we will probably see it again: using state and federal dollars, we fund a social care program for five years, it works, and despite robust results, one budget cycle takes it out. But it doesn’t have to be this way. What if, rather than a rolling series of demonstrations that can disappear with a waiver, a rule change, or a vote, integrated health and social care could be hardened into infrastructure?

On today’s episode, Atrómitos founder, president, and CEO Michealle Gady does a solo deep dive on precisely that topic. She explores the challenges and opportunities in integrating health and social care in the United States, with insights informed by her decade working alongside the state agencies, health systems, payers, funders, and community organizations building the programs that connect health care to the housing, food, transportation, and support that actually determine whether people stay well.

Key Takeaways

The other 80%. Clinical care accounts for roughly twenty percent of your health, while the other 80% occurs outside the health care system. How do we address a person’s need for food, or housing, or a ride to the doctor with the same seriousness we’d bring to a diagnosis of diabetes or heart disease?

Learning from experience. What can we learn from those previous demonstrations? Where has the patchwork fallen short in the past, and how do we avoid those pitfalls in the future? What factors, other than cost savings, should be considered as metrics for success of these programs?

For further reading, we encourage our viewers to visit our website, where you can find a blog post on this topic: https://www.atromitosconsulting.com/the-missing-layer-social-care-infrastructure/

As well as a paper we published in July, with all the evidence and the financing model laid out: https://www.atromitosconsulting.com/reports/integrating-health-and-social-care/

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