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CMS Selects Presbyterian And Other New Mexico Partners To Test Innovative Model

April 11, 2017

ALBUQUERQUE, N.M. – The Centers for Medicare & Medicaid Services (CMS) recently announced that Presbyterian Healthcare Services will be one of 32 participants across the country in CMS’ new Accountable Health Communities model.

As part of their Innovation Center, CMS is testing how this model can help communities as they address health-related social needs of Medicare and Medicaid beneficiaries. The goal is to bridge the gap between clinical and community service providers while lowering costs, improving health and quality of care and reducing avoidable health care use. Social needs include housing instability, food insecurity, utility needs, interpersonal violence and transportation, according to CMS.

CMS will provide up to $4.5 million over five years. Presbyterian and local partners, including the University of New Mexico Health Sciences Center and the Bernalillo County Community Health Council, will serve as a hub to link clinical and community services for Medicaid and Medicare beneficiaries in Bernalillo County.

“We are excited to join this innovative model,” said Leigh Caswell, Director, The Center for Community Health, Presbyterian Healthcare Services. “Presbyterian has cared for the people of New Mexico since 1908; we know the health of our community is impacted by social factors beyond the care we provide in our hospitals and clinics. The CMS model will strengthen the work already being done in our community to link Medicaid and Medicare beneficiaries with the social services they need.”

With the CMS funding, the goal is to build on existing programs in Bernalillo County that focus on screening, referral and navigation services to address health and social needs.

“The CMS funding will allow our partners to scale, extend and improve current services,” said Arthur Kaufman, MD, Vice Chancellor for Community Health, University of New Mexico Health Sciences Center. “With this model, we hope to hire more patient navigators, strengthen partnerships with community service agencies, develop shared referral and navigation data and address gaps in meeting needs.”

See below for a full list of partners in the Accountable Health Communities model for Bernalillo County.

For more information about the model, read the full England Journal of Medicine article


About Presbyterian Healthcare Services
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. Presbyterian is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state’s largest private employer with approximately 11,000 employees.


  • Presbyterian Healthcare Services
  • University of New Mexico Health Sciences Center
  • Bernalillo County Community Health Council
  • State of New Mexico, Human Services Department
  • Clinical Delivery Sites
    • Presbyterian Kaseman Hospital
    • University of New Mexico Hospital (UNM)
    • UNM Psychiatric Center
    • Presbyterian Medical Group on San Mateo
    • Presbyterian Medical Group on Isleta
    • UNM Southeast Heights Clinic
    • UNM Southwest Mesa Clinic
    • First Choice Community Healthcare- South Broadway Center
    • First Choice Community Healthcare- Alamosa Center
    • First Nations Community HealthSource
    • Albuquerque Healthcare for the Homeless
    • Community Dental Services Inc.- South Broadway Clinic
  • Community Service Providers
    • Albuquerque Heading Home
    • City of Albuquerque
    • Public Service Company of New Mexico (PNM)
    • Roadrunner Food Bank
    • Meals on Wheels
    • Storehouse
    • Rape Crisis Center of Central New Mexico
    • SHARE New Mexico

Media Inquiries:

Amanda Schoenberg
Communications Specialists