All Resources

Key Considerations for Health Plans: Partnering with Community-Based Organizations to Address Social Determinants of Health

Guidance on partnering with community-based organizations to provide services such as meal delivery and transportation for dually eligible individuals.

Brief/Report

March 2021

Permanent Supportive Housing With Housing First to Reduce Homelessness and Promote Health Among Homeless Populations With Disability: A Community Guide Systematic Review

Housing First programs reduce homelessness and health care use more effectively than Treatment First approaches.

Peer-Reviewed Article

September 2020

Integrating Health And Human Services In California’s Whole Person Care Medicaid 1115 Waiver Demonstration

California’s Whole Person Care pilot can inform cross-sector initiatives to improve care for Medicaid enrollees with complex health and social needs.

Peer-Reviewed Article

April 2020

Health Care Access Now: Calculating the ROI of a Care Coordination Program to Address Social Determinants of Health

Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.

Case Example

March 2020

Homage: Calculating the ROI of a Partnership to Meet the Health-Related Social Needs of Medicare Advantage Plan Members

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

Case Example

March 2020

Creating Value for Communities: Los Angeles County's Investment in Housing for Health

Lessons from Los Angeles County’s Housing for Health program to reduce homelessness.

Peer-Reviewed Article

January 2020

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

Using Community Partnerships to Integrate Health and Social Services for High-Need, High-Cost Patients

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

Brief/Report

January 2018

Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries

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

Case Example

October 2016

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

All Resources

All Resources

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Key Considerations for Health Plans: Partnering with Community-Based Organizations to Address Social Determinants of Health

Permanent Supportive Housing With Housing First to Reduce Homelessness and Promote Health Among Homeless Populations With Disability: A Community Guide Systematic Review

Integrating Health And Human Services In California’s Whole Person Care Medicaid 1115 Waiver Demonstration

Health Care Access Now: Calculating the ROI of a Care Coordination Program to Address Social Determinants of Health

Homage: Calculating the ROI of a Partnership to Meet the Health-Related Social Needs of Medicare Advantage Plan Members

Creating Value for Communities: Los Angeles County's Investment in Housing for Health

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

Going Beyond Clinical Care to Reduce Health Care Spending

Using Community Partnerships to Integrate Health and Social Services for High-Need, High-Cost Patients

Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries

Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals