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In some instances, behavioral and social determinants may exceed genetic factors in terms of predetermining health .
ACH interventions have reported financial incentives, changes in patient populations, community interest, catastrophic events, and changing provider responsibilities as catalysts for cross-community collaborative health initiatives .
The ACA put value-based payment models at the forefront of health care delivery system reform.
The Centers for Medicare & Medicaid Services (CMS), through the Center for Medicare & Medicaid Innovation, were tasked with piloting variations of value-based payment models and were offered grants for initiatives ranging from primary care overhaul models (such as patient-centered medical homes, health homes, and comprehensive primary care) to accountable care initiatives (including ACOs).
ACHs are best known for their cross-sector approach to addressing population health disparities.
These cross-sector interventions are carried out with financial, technical, and planning support from health care delivery systems; philanthropic organizations; local, regional, and state-based public health departments; community-based organizations; consumers of health care; and others.
Government sources, issue briefs from nonprofit and advocacy organizations, and ACH memos were all included.