Pairing promotores with clinicians increased in-home visits and reduced acute care use and health care costs for homebound older adults.

A program to connect Medicaid ACO enrollees with nutrition and housing-related services demonstrated early indications of effectiveness.

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.

Insights from patient-level encounter histories can support optimizing care coordination team staffing for high-need patients.

Syringe Services Programs can function as entry points to substance use disorder treatment and provide onsite medications for opioid use disorder.

Implementation of a high-dose care management intervention for patients with complex health and social needs can reduce hospitalization rates.

An overview of NYC Health + Hospital’s implementation of a primary care-based social needs screening and referral program, including key implementation challenges and success factors.

Emergency department-based social needs screening and referrals lead to a reduction in emergency department visits.

Actionable and evidence-based guidance for integrating behavioral health care into primary care for older adults.

A guide for health care organizations on evidence-based strategies to implement food and nutrition security programs.

Home-based primary care nurse practitioners improve health outcomes for homebound older adults.

Randomized controlled trial measuring the impact of a community paramedicine model implemented in two rural counties shows reduction in emergency department visits.

Rethinking eligibility, beyond cost and utilization, offers a more equitable approach to identify high-need individuals for care management.

Free video-enabled tablets led to increases in substance use treatment for Veterans Health Administration patients diagnosed with substance use disorder.

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

Screening, brief intervention, and referral to treatment combined with recovery management checkups can connect primary care patients to substance use disorder treatment.

California leveraged Medicaid waiver authority to cover targeted pre-release services with the goal of improving the health of people reentering the community after incarceration.

Integrated care in MassHealth ACOs varies greatly across primary care practice type and is associated with greater ability to improve care quality and advance health equity.

This conversation guide can help providers facilitate emotionally safe and comprehensive conversations with patients who have serious illness.

Inpatient addiction consultation services improves access to medications to treat alcohol use disorder.