Patients and community health workers (CHWs) share perspectives on the impact of CHW services provided within a primary care setting to address barriers to equitable care.

Guidance and tools for food banks to partner with health care organizations to address food insecurity and improve health outcomes.

Varying structures of cross-sector partnerships between health care organizations, social service agencies, and local government bodies have distinct strengths and serve different functions.

Study details permanent supportive housing program implementation and how this impacts outcomes and costs.

Explored how health care organizations can incorporate a segmentation framework into population health management using simple algorithms.

A street medicine program increased post-hospitalization follow-up care for unsheltered individuals experiencing homelessness in Los Angeles.

A medical respite program for people experiencing homelessness shows evidence of reduced hospital readmissions and emergency department revisits.

A cross-sector partnership to enroll older adults experiencing homelessness in permanent supportive housing led to meaningful reductions in health care costs.

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

A comprehensive review of state mechanisms to reimburse for community health worker services.

Medicare Advantage plans report different barriers to partnering with community-based organizations, but there are strategies to develop effective partnerships.

Over 14 years, individuals experiencing chronic homelessness enrolled in a permanent supportive housing program had low housing retention and high mortality.

A permanent supportive housing program reduced emergency department visits within the first six months of placement but showed neutral effects on total cost of care and primary care utilization for Medicaid enrollees.

This field scan of the Produce Prescription field highlights current trends and key opportunities for future growth.

Home-based program provided by a community health and social worker reduces acute care use and improves care for older adults with complex health and social needs.

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

An affordable housing program in Baltimore generates between $1.30-$1.92 of “social return” in the community for every dollar invested annually.

A review of existing literature finds that medical respite care reduces hospital and emergency department visits, increased use of outpatient care, and leads to overall cost savings.

Analysis of recent and projected growth of expanded supplemental benefits offered by Medicare Advantage plans — such as meals, transportation, and in-home support services.

Discusses the benefits and challenges of tele-social care and offers practical tips for providers administering telehealth services for social care activities.