Presents tools and tips frontline care management staff to address high-risk patients’ unmet social health needs during the COVID-19 pandemic.

Food banks can use this tool to learn approaches to information-sharing for health care partnerships and interventions.

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

Multisector partnerships that include Area Agencies on Aging may reduce health care use and spending.

Health care systems may need to tailor screening and referral approaches for social needs, as some needs may be less likely to be met by social service organizations.

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

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

Discharge to medical respite care leads to lower hospital readmission rates among individuals who are frequently admitted to the hospital.

A food bank-based intervention improved food security and health status for individuals at risk for type 2 diabetes.

A multidisciplinary care coordination program for older adults with dementia demonstrated a positive return on investment and Medicaid cost savings.

A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.

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.

Community approaches to reducing care utilization and costs.

Insights from experts, recent research, and state case studies offer actionable recommendations for advancing medically tailored meal initiatives to improve outcomes and reduce costs.

A tool helps providers capture essential information when interviewing people experiencing unsheltered homelessness to support effective treatment planning.

How to implement the new Medicare benefits.

Program based in affordable housing sites for older adults and people with disabilities has favorable impact on Medicare and Medicaid expenditures and helps residents remain in community settings.

Permanent supportive housing programs with a “Housing First” approach can improve health outcomes and reduce acute care use for people experiencing homelessness with disabling conditions.

Strategies for health centers and supportive housing providers to advance health equity by partnering to provide person-centered care.