This webinar described how the Camden Coalition has refined and expanded programs in recent years to more effectively care for adults with complex health and social needs and integrate lessons from this evidence.

A primary care-based integrated care team supports patients with type 1 or type 2 diabetes in reducing A1c levels.

Addressing care coordination and medication-related needs within a mobile integrated health care-community paramedicine program leads to a reduction in hospital readmissions.

This resource center offers guidance to help Medicaid stakeholders engage community members in policy and program design development, especially as a means of increasing health equity.

Curated collection of research studies highlights the efficacy of services provided by community-based organizations, with a focus on outcomes relevant to health care partners.

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

This webinar highlighted one successful CBO-health plan partnership model to explore why they entered into a partnership, how they put their contract into practice, and outcomes of the partnership so far.

Barriers to community social services to address health-related social needs persist despite screening and referral programs in clinical settings.

Community health worker interventions are effective for improving health behaviors and outcomes and reducing health care costs for people with chronic disease.

Well-designed bidirectional community and referral pathways may help bridge the community-clinic divide.

Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.

Embedded peer navigators provide support and mentorship for people experiencing homelessness, leading to increases in chronic disease screening and referrals.

A home-based collaborative care model using community health workers shows reductions in depression and increased connection to services for older adults.

Medicaid health plan-led community health worker program showed moderate evidence for increased outpatient care and primary care use.

Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.

Highlighted two community paramedicine programs in New England and rural North Carolina that serve people with complex needs.

Recommendations for building a stronger, more coordinated, and patient-centered complex care evidence base.

Social and legal services to address health care costs and utilization may be most effective for individuals with moderately high utilization who are less clinically complex.

Resources to help organizations plan and implement medical respite care programs, including program development guides, case examples, and implementation tools.