This resource toolkit offers best practices for contracting between health care systems and community-based organizations to address health-related social needs.

This tool can support health care and community-based organizations in building sustainable cross-sector partnerships.

Tool describes a state policy strategy for improving coordination across Medicare and Medicare for dually eligible individuals.

Guidance for health plans for improving quality of home- and community-based services.

This toolkit supports organizations to bill for community health workers/promotores interventions.

This guide describes key strategies for health plans, accountable care organizations, and health systems to improve care for people with serious illness.

Describes the core elements and evidence base behind a home- and community-based palliative care model that was designed by stakeholders to support the health needs of people with serious illness.

Provides practical steps for current or potential future Medicare accountable care organizations to transform the delivery of care, including through telehealth, home visits, and skilled nursing care.

This toolkit shares business strategies, sample protocols, and best practice clinical tools for health care providers interested in developing a home-based palliative care program.

How to implement the new Medicare benefits.

Outlines steps states can take to advance Medicare-Medicaid integration depending on policy goals, internal capacity, and delivery system structures.

A tool for assessing readiness for value-based partnerships.

A practical guide for payers to create a home-based palliative care program centered upon a value-based case example from a payer’s perspective.

This resources describes the competencies organizations need to transition to value-based payment.

Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.