Of course, as with all federal programs, the AHC program is to be “universal and comprehensive” and will involve “robust evaluation, ” as well as thorough “collaboration among stakeholders who are accountable for the health and health care of their community." And AHC will, no doubt, be “affordable,” just as the Patient Protection and Affordable Care Act promised to be.
Physicians can write “prescriptions” to give needy patients access to these services. Physicians are Health Leads sites welcome these services, and the Physicians Foundation thinks so much of Health Leads that it has rewarded the company with several million dollar grants.
The CMS Accountable Health Communities universal comprehensive program and Health Lead's more modest initiative approach illustrates two fundamental approaches to health reform.
One, the universal, comprehensive, utopian approach, which says: You must serve all of the people, all of the time, for all of their needs, from the top-down for all of the people serviced by government.
Two, the incremental pragmatic, less-than-ideal approach, which says: You can serve many of the people, much of the time, for the most pressing of their needs, from the bottom-up, when the occasion demands.