Innovations in Payer-Community Partnerships: The EmblemHealth Neighborhood Care Program

Int Q Community Health Educ. 2017 Oct;38(1):57-64. doi: 10.1177/0272684X17740694. Epub 2017 Nov 6.

Abstract

Comprehensive and innovative strategies are needed to address and manage chronic diseases and conditions and to reduce health disparities. EmblemHealth Neighborhood Care (EHNC) sites provide community-based linkages across payers, health providers, and delivery systems and underserved communities using culturally sensitive methods tailored to meet the needs of the community. This article describes this novel initiative and early indicators of its feasibility. Three EHNC sites were established in New York City: Harlem, Cambria Heights, and Chinatown. Each site provides core health and customer services to members and the community. In addition, sites provide tailored services to meet the unique needs of each community. Preliminary data suggest that program and community members are utilizing the sites and returning for follow-up visits. Sites also demonstrate success in cross referral between EHNC teams. The EHNC program is both feasible from the payer's perspective and acceptable to diverse patient populations and settings.

Keywords: community; health disparities; health promotion; payer.

MeSH terms

  • Asian
  • Black or African American
  • China / ethnology
  • Chronic Disease
  • Community Health Services / organization & administration*
  • Community-Institutional Relations*
  • Cultural Competency
  • Environment
  • Female
  • Health Promotion / organization & administration
  • Hispanic or Latino
  • Humans
  • Insurance, Health / organization & administration*
  • Male
  • Medically Underserved Area
  • Minority Groups*
  • New York City / epidemiology
  • Social Environment