This brief offers tips for managed care organizations and Medicaid agencies on how to incorporate community health worker expertise when building or enhancing CHW programs.

Data from an ongoing clinical trial is used to estimate the cost of implementing a contingency management program and develop a customizable budget impact tool.

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

Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.

The reanalysis of a randomized control trial evaluating the effectiveness of a care management program finds increased linkages to ambulatory care.

Evidence-based federal policy recommendations seek to strengthen the integrated care workforce.

A primary care-based integrated care team supports patients with type 1 or type 2 diabetes in reducing A1c levels.

Multidisciplinary integrated practice units may have a greater impact on acute care utilization by focusing on patients who have high utilization of emergency departments and are uninsured.

California community paramedicine and triage to alternative destination programs lead to more coordinated care and reductions in emergency department visits and hospital readmissions.

An interdisciplinary care management program for Medicare patients at increased risk of hospitalization demonstrates a positive return on investment.

Randomized controlled trial shows that a collaborative dementia care model leads to reduction in costs among a sample of Medicare patients.

Curated collection of research studies highlights the efficacy of services provided by community-based organizations, with a focus on outcomes relevant to health care partners.

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

Care coordination services in primary care clinics are shown to reduce avoidable hospitalizations among persons living with dementia.

A primary care practice redesigned its social needs screening and patient triage process to allow specialized staff to spend more time supporting patients with more intensive housing needs.

Insights from patient-level encounter histories can support optimizing care coordination team staffing for high-need patients.

An overview of NYC Health + Hospital’s implementation of a primary care-based social needs screening and referral program, including key implementation challenges and success factors.

Randomized controlled trial measuring the impact of a community paramedicine model implemented in two rural counties shows reduction in emergency department visits.

Home-based collaborative care models (CCMs) can reduce health services utilization for low-income older adults living with depression.

Integrated care in MassHealth ACOs varies greatly across primary care practice type and is associated with greater ability to improve care quality and advance health equity.