Community Care Teams: A Promising Strategy to Address Unmet Social Needs

Key Questions Answered
  • What are Community Care Teams (CCTs) and what advantages do they offer?
  • What are some good examples of CCT programs?
  • What are the options for payment models?
Key Themes and Takeaways

This resource summarizes the benefits and characteristics of CCTs, including descriptions of several statewide initiatives.

  • CCTs are multidisciplinary groups of care providers who address both medical issues and the social determinants of health. Teams typically include clinical and non-traditional providers such as community health workers, peers, and patient navigators.
  • Over the past decade, statewide initiatives to implement CCTs in Maine, North Carolina, and Vermont are beginning to show improvements in health outcomes in these states.
  • Payment models for CCTs vary. Options include a single payment that covers all services for a given intervention; a risk-sharing agreement for provider partners; and Medicaid reimbursement for non-clinical preventive services.
Caitlin Thomas-Henkel
Katherine Heflin
Population Addressed
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Expert Opinion
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