Displaying 1 - 20 of 57

Understanding the Medicare Physician Fee Schedule Billing Codes For: Community Health Integration, Principal Illness Navigation, and Principal Illness Navigation-Peer Support Services

This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.

Implementation Tool

March 2024

The Return on Investment (ROI) Calculator for Healthcare Partnerships to Address Social Needs

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

Implementation Tool

October 2023

Medi-Cal Member Advisory Committee: Design Recommendations for the California Department of Health Care Services

Recommendations to inform the design and implementation of a new Medicaid Advisory Committee.

Implementation Tool

July 2023

Equity in CalAIM: How to Identify the Patients Who Will Benefit Most

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

Implementation Tool

May 2023

Community Health Worker Model Best Practice Toolkit for Designing, Implementing and Showing Impact

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

Implementation Tool

March 2023

Addressing Social Isolation and Loneliness Among Older Dually Eligible Individuals

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

Implementation Tool

November 2022

Words Matter: Strategies to Reduce Bias in Electronic Health Records

A provider tool that promotes person-centered and equitable care by recognizing and avoiding bias in electronic health record notes.

Implementation Tool

October 2022

Reimbursement Strategies for Employers of Community Health Workers

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

Implementation Tool

October 2022

Implementation Toolkit: Patient Priorities Care

This toolkit can help providers and health systems better tailor care to fit the goals of each patient.

Implementation Tool

October 2022

Guide to Evidence for Health-Related Social Needs Interventions: 2022 Update

Summarizes evidence on costs of health-related social needs interventions and their impact on utilization and cost of care to inform ROI Calculator users.

Implementation Tool

September 2022

Hunger Vital Signs Screening Implementation Guide

Guide offers implementation recommendations for introducing food insecurity screenings in clinical settings, including workflow and staffing considerations.

Implementation Tool

September 2022

Methods and Emerging Strategies to Engage People with Lived Experience

Toolkit offers lessons for engaging people with lived experience in human services initiatives.

Implementation Tool

January 2022

Food Bank-Health Care Partnerships

Guidance and tools for food banks to partner with health care organizations to address food insecurity and improve health outcomes.

Implementation Tool

January 2022

High-Need, High-Cost Segmentation Framework

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

Implementation Tool

October 2021

Building the Value Case for Complex Care Toolkit

This toolkit can support health care organizations in creating the business case for complex care programs.

Implementation Tool

September 2021

Telemedicine for Health Equity Toolkit

Offers practical recommendations to improve telemedicine interventions to be more equitable for diverse populations, particularly those with low incomes.

Implementation Tool

June 2021

HCCIntelligence: Tools and Tip Sheets

Downloadable tools, tip sheets, sample forms, and how-to guides on home-based primary care, with a focus on clinical and operational best practices.

Implementation Tool

June 2021

Complex Care Startup Toolkit

Contains practical guides, tools, and other resources for developing complex care programs.

Implementation Tool

June 2021

Leveraging Medicaid Accountable Care Organizations to Address Health Equity: Examples from States

Tool shares strategies for states to use Medicaid accountable care organization agreements to promote health equity.

Implementation Tool

May 2021

Health Equity Resource Series: Data-Driven Care Delivery: Data Collection, Stratification and Use

Toolkit details how hospitals and health systems can use patient race, ethnicity, and language data to advance health equity and eliminate disparities.

Implementation Tool

March 2021

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Understanding the Medicare Physician Fee Schedule Billing Codes For: Community Health Integration, Principal Illness Navigation, and Principal Illness Navigation-Peer Support Services

The Return on Investment (ROI) Calculator for Healthcare Partnerships to Address Social Needs

Medi-Cal Member Advisory Committee: Design Recommendations for the California Department of Health Care Services

Equity in CalAIM: How to Identify the Patients Who Will Benefit Most

Community Health Worker Model Best Practice Toolkit for Designing, Implementing and Showing Impact

Addressing Social Isolation and Loneliness Among Older Dually Eligible Individuals

Words Matter: Strategies to Reduce Bias in Electronic Health Records

Reimbursement Strategies for Employers of Community Health Workers

Implementation Toolkit: Patient Priorities Care

Guide to Evidence for Health-Related Social Needs Interventions: 2022 Update

Hunger Vital Signs Screening Implementation Guide

Methods and Emerging Strategies to Engage People with Lived Experience

Food Bank-Health Care Partnerships

High-Need, High-Cost Segmentation Framework

Building the Value Case for Complex Care Toolkit

Telemedicine for Health Equity Toolkit

HCCIntelligence: Tools and Tip Sheets

Complex Care Startup Toolkit

Leveraging Medicaid Accountable Care Organizations to Address Health Equity: Examples from States

Health Equity Resource Series: Data-Driven Care Delivery: Data Collection, Stratification and Use