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