Recommendations for integrating social and health care to improve the nation’s health.

A permanent supportive housing program did not improve most measures related to physical health for individuals experiencing chronic homelessness, but did improve access to and trust in primary care.

This resource is an updated quick reference guide to promising models for people with complex needs.

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

Overcoming barriers to patient engagement.

A regional approach to health care transformation.

A financial analysis projected that hospitals and health plans could achieve cost savings by investing in medical respite programs.

Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.

This brief describes new ways for health care to address social determinants of health.

By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.

Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked.

A study of five programs identified key factors that support collaboration among community-based health and social services.

Care management programs should include processes for evaluating patient-reported outcomes.

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.

Key opportunities include strengthening information technology connections across service providers.

The approach identifies patients through chart review and data analytics coupled with the intelligence of community health workers.

Systematic review finds that medical respite programs reduce acute care utilization outcomes for people experiencing homelessness.

A study showed that some programs reduced hospitalizations by 8 to 33 percent.