Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations The value of community health workers in advancing health equity. Brief/Report November 2019
Impact of Social Needs Navigation on Utilization Among High Utilizers in a Large Integrated Health System Impact of social needs navigation program on future utilization of patients with prior high utilization. Peer-Reviewed Article November 2019
Cross-sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot. Peer-Reviewed Article October 2019
Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health Recommendations for integrating social and health care to improve the nation’s health. Brief/Report September 2019
A Turning Point in Medicare Policy: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill How to implement the new Medicare benefits. Implementation Tool July 2019
Targeting High-Need Beneficiaries in Medicare Advantage: Opportunities to Address Medical and Social Needs Medicare Advantage plans should identify patients based on medical and social risk factors, not just medical diagnoses. Brief/Report February 2019
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
Going Beyond Clinical Care to Reduce Health Care Spending A regional approach to health care transformation. Peer-Reviewed Article July 2018
Permanent Supportive Housing: Evaluating the Evidence for Improving Health Outcomes Among People Experiencing Chronic Homelessness Permanent supportive housing shows mixed results in improving health outcomes and health care costs for people experiencing chronic homelessness. Brief/Report July 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
Diffusion of Community Health Workers Within Medicaid Managed Care: A Strategy to Address Social Determinants of Health New Mexico’s model to deploy community health workers is now replicated in 12 states. Case Example July 2017
Improving Care for High-Need, High-Cost Medicare Patients This Bipartisan Policy Center report makes policy recommendations to allow Medicare to pay for non-medical supports and services. Brief/Report April 2017
Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals A study of five programs identified key factors that support collaboration among community-based health and social services. Peer-Reviewed Article March 2016