Content Types

Displaying 1 - 20 of 84

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

Medicaid Spending and Health-Related Social Needs in the North Carolina Healthy Opportunities Pilots Program

North Carolina Medicaid’s Healthy Opportunities Pilot shows reductions in emergency department visits and overall health care costs.

Peer-Reviewed Article

February 2025

A Prescription Produce Program Integrating Lifestyle Behavior Counseling and Health Education: A Program Description and Evaluation

Analysis of a produce prescription and nutrition counseling program show promising results and key implementation insights.

Peer-Reviewed Article

December 2024

Strengthening Health Care-Community Partnerships with ROI Insights to Better Address Social Needs

Kathryn Jantz from HealthBegins, discusses how health care organizations and community-based organizations can use an return on investment calculator to support partnerships that address patients’ health-related social needs.

Blog

August 2024

NYC’s Overdose Prevention Centers: Data from the First Year of Supervised Consumption Services

Overdose prevention centers in New York City are shown to avert overdose-related injury and death, reduce public drug use, and connect individuals to wraparound services.

Peer-Reviewed Article

April 2024

Advancing Social Care Integration in Health Systems with Community Health Workers: An Implementation Evaluation Based in Bronx, New York

A community health worker initiative embedded in an urban health system led to a significant number of primary care patients receiving services to address their health-related social needs.

Peer-Reviewed Article

April 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

Medically Tailored Meals for Older Adults: Evaluation Report

Evaluation of a diabetes-focused medically tailored meals pilot demonstrates improved health outcomes and provides examples of key implementation tools.

Brief/Report

February 2024

Pilot Implementation of a Nutrition-Focused Community Health Worker Intervention Among Formerly Chronically Homeless Adults in Permanent Supportive Housing

A community health worker-led program for formerly homelessness individuals living in permanent supportive housing increased food security and social connectedness.

Case Example

January 2024

Improving Diabetes Control in a Medicaid Managed Care Population With Complex Needs

A primary care-based integrated care team supports patients with type 1 or type 2 diabetes in reducing A1c levels.

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

Evaluation of AB 1544: Community Paramedicine and Triage to Alternate Destination

California community paramedicine and triage to alternative destination programs lead to more coordinated care and reductions in emergency department visits and hospital readmissions.

Brief/Report

October 2023

Catalyzing Alignment and Systems Transformation Through Cross-Sector Partnerships: Findings from the California Accountable Communities for Health Initiative

A multi-sector collaboration in California that included community members improved organizational partnerships and create systems change.

Peer-Reviewed Article

September 2023

Best Practices for Successful Reentry From Criminal Justice Settings for People Living With Mental Health Conditions and/or Substance Use Disorders

Toolkit offers guidance for corrections and health care professionals on evidence-based interventions to support the reentry needs of people with behavioral health needs.

Implementation Tool

September 2023

Community-Based Organization Services Evidence Bank

Curated collection of research studies highlights the efficacy of services provided by community-based organizations, with a focus on outcomes relevant to health care partners.

Website/Resource Center

August 2023

Building Partnerships with Community Members to Advance Public Health

Health care organizations can use this toolkit to develop community ambassador/liaison programs — programs that train community members to act as a bridge between communities and the organizations that serve them.

Implementation Tool

August 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

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

Partnerships with Community-Based Organizations: Opportunities for Health Plans to Create Value

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

Implementation Tool

June 2023

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The People Say

Medicaid Spending and Health-Related Social Needs in the North Carolina Healthy Opportunities Pilots Program

A Prescription Produce Program Integrating Lifestyle Behavior Counseling and Health Education: A Program Description and Evaluation

Strengthening Health Care-Community Partnerships with ROI Insights to Better Address Social Needs

NYC’s Overdose Prevention Centers: Data from the First Year of Supervised Consumption Services

Advancing Social Care Integration in Health Systems with Community Health Workers: An Implementation Evaluation Based in Bronx, New York

Bridging the Home-Based Primary Care Gap in Rural Areas

Medically Tailored Meals for Older Adults: Evaluation Report

Pilot Implementation of a Nutrition-Focused Community Health Worker Intervention Among Formerly Chronically Homeless Adults in Permanent Supportive Housing

Improving Diabetes Control in a Medicaid Managed Care Population With Complex Needs

The Health Care Guide to Contracting with CBOs

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

Evaluation of AB 1544: Community Paramedicine and Triage to Alternate Destination

Catalyzing Alignment and Systems Transformation Through Cross-Sector Partnerships: Findings from the California Accountable Communities for Health Initiative

Best Practices for Successful Reentry From Criminal Justice Settings for People Living With Mental Health Conditions and/or Substance Use Disorders

Community-Based Organization Services Evidence Bank

Building Partnerships with Community Members to Advance Public Health

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

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

Partnerships with Community-Based Organizations: Opportunities for Health Plans to Create Value