By Monica E. Oss There is much talk—and many pilot programs—about bridging the gap between health care and social services. The data is clear—80% of health outcomes are due to social, behavioral, and environmental factors and only 20% due to clinical care (for more check out the Robert Wood Johnson Foundation program, County Health Rankings Model). The solutions, however, are not so clear. My question for the long term is how to embed consideration of social factors into the fabric of care coordination and care management. How does the health and human service system break down disconnected programmatic silos and adopt an integrated approach? How do we…
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