RT Journal Article SR Electronic T1 Mission Health Partners JF North Carolina Medical Journal JO N C Med J FD North Carolina Institute of Medicine SP 245 OP 247 DO 10.18043/ncm.78.4.245 VO 78 IS 4 A1 Fields, Robert YR 2017 UL http://www.ncmedicaljournal.com/content/78/4/245.abstract AB Mission Health Partners Accountable Care Organization's population health strategy is based on the idea that improvements in outcomes are best achieved by addressing social determinants gaps for its members. Our network of service providers and a process for referrals and tracking streamlines the limited resources available to meet these needs.