All Resources

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

Partnerships with Community-Based Organizations: Opportunities for Health Plans to Create Value

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

Implementation Tool

June 2023

Functions of a Mature Community Care Hub

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

Implementation Tool

June 2023

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

Implementing and Sustaining Rural Community Paramedicine

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

Implementation Tool

June 2021

The ROI Calculator for Partnerships to Address the Social Determinants of Health

A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

Implementation Tool

August 2018

Investing in Social Services as a Core Strategy for Healthcare Organizations: Developing the Business Case

This resource explains how to invest in social services as a business strategy.

Implementation Tool

March 2018

All Resources

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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

Partnerships with Community-Based Organizations: Opportunities for Health Plans to Create Value

Functions of a Mature Community Care Hub

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

Implementing and Sustaining Rural Community Paramedicine

The ROI Calculator for Partnerships to Address the Social Determinants of Health

Investing in Social Services as a Core Strategy for Healthcare Organizations: Developing the Business Case