It’s Time to Build the Infrastructure that Makes Health Possible: Formalizing Accountable Communities for Health

1. Alley DE , Asomugha CN , Conway PH , Sanghavi DM . Accountable health communities—addressing social needs through Medicare and Medicaid. N Engl J Med. 2016;374(1):8–11; doi: 10.1056/NEJMp1512532

2. Bradley EH , Elkins BR , Herrin J , Elbel B . Health and social services expenditures: Associations with health outcomes. BMJ Qual Saf. 2011 Oct;20(10):826–31; doi: 10.1136/bmjqs.2010.048363

3. Marmot M . The Health Gap: The Challenge of an Unequal World. Bloomsbury Publishing; 2015.

4.National Academies of Sciences, Engineering, and Medicine. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health. National Academies Press; 2019; doi: 10.17226/25467

5. Woolf SH , Aron L ., eds. U.S. Health in International Perspective: Shorter Lives, Poorer Health. National Academies Press; 2013; doi: 10.17226/13497

6. Buck DS , Brown CA , Hickey JS . The Jail In-Reach Project: Linking homeless mentally ill to community health services. Psychiatr Serv 2011;62(2):120–122; doi: 10.1176/ps.62.2.pss6202_0120

7. Sadowski LS , Kee RA , VanderWeele TJ , Buchanan D . Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: A randomized trial. JAMA. 2009;301(17):1771–1778; doi: 10.1001/jama.2009.561

8. Greenblatt A . How Houston cut its homeless population by nearly two-thirds. Governing; 2023. Available from: https://www.governing.com/housing/how-houston-cut-its-homeless-population-by-nearly-two-thirds [Last accessed: March 2026 ].

9. Mittman H , Heinrich J , Levi J . Accountable Communities for Health: What We Are Learning from Recent Evaluations. National Academy of Medicine Perspectives. Available from: https://nam.edu/perspectives/accountable-communities-for-health-what-we-are-learning-from-recent-evaluations/

10. Lantz PM , Hiltner S . Addressing health-related social needs through Medicaid Section 1115 waivers: Challenges and opportunities. Health Affairs Forefront; 2026. Available from: https://www.healthaffairs.org/content/briefs/addressing-health-related-social-needs-through-medicaid-section-1115-waivers-challenges [Last accessed: March 2026 ].