The Accountable Health Communities (AHC) Model addresses a critical gap between clinical care and community services in the current health care delivery system by testing whether systematically identifying and addressing the health-related social needs of beneficiaries’ impacts total health care costs, improves health, and quality of care. In taking this approach, the Accountable Health Communities model supports the Center for Medicare & Medicaid Service’s (CMS) “better care, smarter spending, and healthier people” approach to improving health care delivery.

Track 1 of the AHC Model will support bridge organizations that are working to increase a patient’s awareness of available community services through screening, information dissemination, and referral. The Track 1 approach seeks to address the decreased capacity of clinical delivery sites to respond to beneficiaries’ health-related social needs because (1) health-related social needs remain undetected due to the lack of universal screening and (2) clinical delivery sites and patients may lack awareness about existing community service providers that could address those needs. Track 1 award recipients will partner with the state Medicaid agency, community service providers and clinical delivery sites to implement the Model.

Please join the Accountable Health Communities Web Forum to learn more about the updates to Track 1 and the AHC Model application process. Spaces for this event are limited.


Thanks to everyone who submitted a question during the AHC Web Forum. We appreciate your interest in the AHC Model. The questions submitted will be reviewed and used to help inform the Frequently Asked Questions (FAQs) section on the AHC website. New FAQs are posted to the site on a regular basis. Please feel free to review the current FAQs, as your question may have been previously answered.   

Application Deadline:  Applications must be submitted electronically through by the deadline of 3:00 p.m. EST on November 3, 2016.


Alex Billioux, MD, DPhil

Acting Director, Division of Population Health Incentives and Infrastructure

The Center for Medicare & Medicaid Innovation

Baltimore, MD

Alexander Billioux is a Senior Advisor to the Director and Deputy Directors at the Center for Medicare and Medicaid Innovation and Acting Director of the Division of Population Health Incentives and Infrastructure in the Preventive and Population Health Care Models Group. He is an internal medicine physician focused on improving…

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Simeon Niles, JD, MPH 

Model Lead, Accountable Health Communities (AHC) Model

The Center for Medicare & Medicaid Innovation

Washington, DC

Simeon Niles joined the Division of Population Health Incentives and Infrastructure in PPHG in December 2014, and as of July 2016 is the Model Lead for the Accountable Health Communities (AHC) Model. Prior to joining CMMI, he was a Federal Consultant in Deloitte’s Strategy and Operations practice where he provided legal,…

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Louise Amburgey

Grants Management Officer and Specialist, Office of Acquisition and Grants Management

Centers for Medicare & Medicaid Services

Louise Amburgey is a Grants Management Officer and Specialist in the Office of Acquisition and Grants Management at CMS. She has over 20 years of grant and cooperative agreement experience, serving primarily within the Department of Health and Human Services. Prior to joining CMS in 2006, she served within the…

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Adam Lustig, MS

Manager, Promoting Health and Cost Control in States (PHACCS)

Trust for America's Health (TFAH)

Washington, DC

Adam Lustig is the Manager, Promoting Health and Cost Control in States (PHACCS) at TFAH. The PHACCS Initiative seeks to promote the adoption and implementation of effective, evidence-based state public health policies in a relatively short time period of five years. Prior to joining TFAH, he was the Senior Manager…

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