Displaying 1 - 20 of 31

The People Say

Website offers a qualitative database of personal narratives to support providers and policymakers in designing policies that better reflect the lived experience, needs, and priorities of older adults.

Implementation Tool

August 2025

Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage

A post-hospitalization supplemental home-delivered meals benefit saw significant uptake and high satisfaction among Medicare Advantage members with greater financial or food insecurity.

Peer-Reviewed Article

March 2024

Bridging the Home-Based Primary Care Gap in Rural Areas

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

Brief/Report

February 2024

Access, Utilization, and Quality of Behavioral Health Integration in Medicaid Managed Care

The transition to the Medicaid behavioral health “carve-in” model in Washington State was not associated with significant improvements in overall health outcomes.

Peer-Reviewed Article

December 2023

The Health Care Guide to Contracting with CBOs

This resource toolkit offers best practices for contracting between health care systems and community-based organizations to address health-related social needs.

Implementation Tool

December 2023

The Return on Investment (ROI) Calculator for Healthcare Partnerships to Address Social Needs

This tool can support health care and community-based organizations in building sustainable cross-sector partnerships.

Implementation Tool

October 2023

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

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

Peer-Reviewed Article

August 2023

Trade-Offs in Locational Choices for Care Coordination Resources in Accountable Care Organizations

Having onsite care coordinators may significantly improve the quality of patient care, while centralized coordination is associated with increased information sharing.

Peer-Reviewed Article

July 2023

Redesign of a Primary Care-Based Housing Intervention to Address Upstream Housing Needs

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.

Case Example

July 2023

Assessment of the Massachusetts Flexible Services Program to Address Food and Housing Insecurity in a Medicaid Accountable Care Organization

A program to connect Medicaid ACO enrollees with nutrition and housing-related services demonstrated early indications of effectiveness.

Peer-Reviewed Article

June 2023

Association of a Medicare Advantage Posthospitalization Home Meal Delivery Benefit With Rehospitalization and Death

Home-delivered meals reduced rates of 30-day rehospitalization and death for Medicare Advantage members post hospitalization.

Peer-Reviewed Article

June 2023

Integration on the Frontlines of Medicaid Accountable Care Organizations and Associations with Perceived Care Quality, Health Equity, and Satisfaction

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.

Peer-Reviewed Article

May 2023

Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States

Community health worker interventions are effective for improving health behaviors and outcomes and reducing health care costs for people with chronic disease.

Peer-Reviewed Article

April 2023

Realizing the Potential of Accountable Care in Medicaid

Findings from a literature review and state interviews share experiences and outcomes of implementing Medicaid accountable care organization programs.

Brief/Report

April 2023

Sustainable Financing Approaches for Medicaid Managed Care Organizations to Address Health-Related Social Needs

Jennifer Babcock of the Association of Community Affiliated Plans discusses state efforts to promote sustainable financing for Medicaid health plans to address health-related social needs and how these efforts can result in better outcomes for people with complex care needs.

Blog

March 2023

Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid

Medicaid health plan-led community health worker program showed moderate evidence for increased outpatient care and primary care use.

Peer-Reviewed Article

January 2023

Reimbursement Strategies for Employers of Community Health Workers

This toolkit supports organizations to bill for community health workers/promotores interventions.

Implementation Tool

October 2022

ACO and Social Service Organization Partnerships: Payment, Challenges, and Perspectives

Accountable care organization leaders share perspectives on payment mechanisms used with social service organizations, challenges experienced, and the impacts of these partnerships.

Peer-Reviewed Article

January 2022

Cost and Utilization Impacts of a Medicaid Managed Care Organization’s Behavioral Health Wraparound Program

Behavioral health wraparound program led to reduced utilization and costs in first month after an emergency department or behavioral health admission, but mixed results occurred in subsequent months.

Peer-Reviewed Article

January 2022

Leveraging Medicaid Accountable Care Organizations to Address Health Equity: Examples from States

Tool shares strategies for states to use Medicaid accountable care organization agreements to promote health equity.

Implementation Tool

May 2021

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The People Say

Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage

Bridging the Home-Based Primary Care Gap in Rural Areas

Access, Utilization, and Quality of Behavioral Health Integration in Medicaid Managed Care

The Health Care Guide to Contracting with CBOs

The Return on Investment (ROI) Calculator for Healthcare Partnerships to Address Social Needs

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

Trade-Offs in Locational Choices for Care Coordination Resources in Accountable Care Organizations

Redesign of a Primary Care-Based Housing Intervention to Address Upstream Housing Needs

Assessment of the Massachusetts Flexible Services Program to Address Food and Housing Insecurity in a Medicaid Accountable Care Organization

Association of a Medicare Advantage Posthospitalization Home Meal Delivery Benefit With Rehospitalization and Death

Integration on the Frontlines of Medicaid Accountable Care Organizations and Associations with Perceived Care Quality, Health Equity, and Satisfaction

Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States

Realizing the Potential of Accountable Care in Medicaid

Sustainable Financing Approaches for Medicaid Managed Care Organizations to Address Health-Related Social Needs

Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid

Reimbursement Strategies for Employers of Community Health Workers

ACO and Social Service Organization Partnerships: Payment, Challenges, and Perspectives

Cost and Utilization Impacts of a Medicaid Managed Care Organization’s Behavioral Health Wraparound Program

Leveraging Medicaid Accountable Care Organizations to Address Health Equity: Examples from States