At the foundation of the model are these primary components:

 

(1) Core Pathways: measurement tools to define the problem to be addressed (health or social issue),

     the desired measurable outcome, and the key intervention steps to achieve the outcome.

(2) Community HUB: a regional point of registry and outcome tracking that networks together health

     care providers, social service agencies, and health care payers that implement these Pathways.

(3) Pathway payments: payment for care coordination that is based on outcomes instead of

     activities.”