The Accountable Community for Health is a pioneering model designed to meet the challenges of the next phase of health system transformation. Since the passage of the Affordable Care Act in 2010, states have moved swiftly to expand insurance coverage. As a result, more Americans have become insured and are participating in the system than ever before. In California, as well as other states, this is a tremendous accomplishment and an example of true leadership by the state. At the same time, injury and illness - particularly chronic diseases impacting the most vulnerable - continue to cause unnecessary suffering and put stress on the healthcare system that is not sustainable. Leaders from public health and healthcare are asking, "What can we do to support a healthy population?" This is the fundamental question driving the next phase of health system transformation, where value will be emphasized over volume, and improved population health will be the ultimate benchmark of success. The Accountable Community for Health (ACH) model provides a powerful opportunity for healthcare institutions to prepare for the collaborations necessary to succeed in this new health ecosystem.

This brief outlines the ACH model, provides examples of relevant collaborations emerging throughout the country, and recommends several concrete actions for organizations interested in taking the next step toward adopting the ACH approach. The brief was developed to provide particular guidance to support emerging ACH implementation efforts in California. This guidance is relevant for similar efforts across the country.