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.

Recommendations to inform the design and implementation of a new Medicaid Advisory Committee.

Pairing promotores with clinicians increased in-home visits and reduced acute care use and health care costs for homebound older adults.

This resource guide outlines the value case for health plans to partner with community-based organizations for social care benefits.

The community care hub model can support facilitating strong partnerships between community-based organizations and health care organizations.

Telehealth for buprenorphine treatment is associated with improved patient and provider satisfaction of care.

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

This webinar highlighted one successful CBO-health plan partnership model to explore why they entered into a partnership, how they put their contract into practice, and outcomes of the partnership so far.

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

Syringe Services Programs can function as entry points to substance use disorder treatment and provide onsite medications for opioid use disorder.

Implementation of a high-dose care management intervention for patients with complex health and social needs can reduce hospitalization rates.

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.

Tool describes a state policy strategy for improving coordination across Medicare and Medicare for dually eligible individuals.

Emergency department-based social needs screening and referrals lead to a reduction in emergency department visits.

A county health department, in collaboration with community-based organizations, conducts community listening sessions to identify priorities for health equity policies.

Leaders of community-based partnerships that offer trauma-informed programming highlight strategies for building trust with communities.

Actionable and evidence-based guidance for integrating behavioral health care into primary care for older adults.

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

A guide for health care organizations on evidence-based strategies to implement food and nutrition security programs.