In 2020, Better Health Partnership launched the new Pathways Community HUB (PCH) for Cuyahoga County – becoming one of ten Pathways HUBs in the state of Ohio, supported by the Ohio Commission on Minority Health. The PCH is a centralized, evidence-based, care coordination model that improves health, reduces costs and promotes equity.
The Pathways HUB brings cross-cutting, high-touch interventions provided by Community Health Workers employed by a network of care coordination agencies to all populations – primarily minorities living in low-income neighborhoods. The HUB is a value-based, pay-for-performance model reimbursed by Medicaid Managed Care when client outcomes are achieved.
In this presentation, we will describe the Pathways HUB model and the value it brings to Cuyahoga county’s most vulnerable residents. We will explain how strategic partnerships with health systems and community organizations can optimize outcomes for targeted populations with challenging health and social needs.