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

Health plans can use this toolkit to create or advance outpatient and home-based palliative care programs, beyond traditional acute care settings.

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

This resource guide outlines the value case for health plans to partner with community-based organizations for social care benefits.

The community care hub model can support facilitating strong partnerships between community-based organizations and health care organizations.

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

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

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

Describes strategies for how state policymakers can strengthen the use of The American Society for Addiction Medicine (ASAM) Criteria to improve addiction care delivery and coverage in the United States.

Strategies for health plans conducting outreach to dually eligible individuals to better support health risk assessments and serve member needs.

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

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.

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

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

Strategies, challenges, and opportunities in supporting the implementation and sustainability of community paramedicine programs in rural communities.

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

Health care organizations can use population-level data sources about the experiences of people with disabilities to improve 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.

This tip sheet provides guidelines for how health plans and provider organizations can use more person-centered language.