Understand emerging evidence and best practices for implementing community engagement interventions to better meet community needs and improve health equity.
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Displaying 1 - 20 of 43
A multidisciplinary care coordination program for older adults with dementia demonstrated a positive return on investment and Medicaid cost savings.
Peer-Reviewed Article
Understanding the Medicare Physician Fee Schedule Billing Codes For: Community Health Integration, Principal Illness Navigation, and Principal Illness Navigation-Peer Support Services
This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.
Implementation Tool
Addressing Social Isolation and Loneliness Among Older Dually Eligible Individuals
Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.
Implementation Tool
The Role of Community Health Workers in the Health and Well-Being of Vulnerable Older Adults During the COVID-19 Pandemic
A telephone-based community health worker program offered critical supports for older adults during the COVID-19 pandemic.
Peer-Reviewed Article
A Housing and Health Collaboration: Mount Rubidoux Manor and Inland Empire Health Plan
Embedding a health navigator in a senior housing community improved residents’ sense of physical, mental, and social well-being.
Case Example
Medicare-Medicaid Integrated Care Programs
Curates evidence behind three fully integrated care program models for people who are dually eligible for Medicare and Medicaid, as well as practical strategies that support effective implementation of these programs.
Collection
December 2023
Evaluating the Program of All-Inclusive Care for the Elderly (PACE)
Case studies and evidence on how PACE organizations adapted to challenges during the COVID-19 pandemic.
Brief/Report
Improving Nursing Home Care Quality
Curates evidence on improving nursing home care quality and explores practical tools that support effective implementation of care and services that are more person-centered and improve outcomes for nursing home residents.
Collection
November 2023
Lifting the Veil How Networks Form Operate Struggle and Succeed
This report highlights challenges of network-based contracting between health care entities and community-based organizations and shares tips for successful implementation.
Brief/Report
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
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
Community Health Worker Programs in Primary Care
Curates recent evidence behind community health worker programs that support people with complex health and social needs, as well as practical strategies to support effective implementation of these programs.
Collection
April 2023
Partnering with Community Health Workers/Promotores to Adapt, Deliver, and Evaluate a Home-Based Collaborative Care Model to Improve Access to Quality Depression Care for Older Latino Adults
A home-based collaborative care model using community health workers shows reductions in depression and increased connection to services for older adults.
Peer-Reviewed Article
Association of National Expansion of Insurance Coverage of Medically Tailored Meals with Estimated Hospitalizations and Health Care Expenditures in the US
Simulation model estimates that national implementation of medically tailored meal programs for specific populations would achieve over $13.6 billion in cost savings per year.
Peer-Reviewed Article
The Paramedic Will See You Now: Expanding Access to Community-Based Care for People with Complex Needs
Highlighted two community paramedicine programs in New England and rural North Carolina that serve people with complex needs.
Webinar
Guide to Evidence for Health-Related Social Needs Interventions: 2022 Update
Summarizes evidence on costs of health-related social needs interventions and their impact on utilization and cost of care to inform ROI Calculator users.
Implementation Tool
A Patient-Centered Complex Care Research Agenda
Recommendations for building a stronger, more coordinated, and patient-centered complex care evidence base.
Brief/Report
Factors Associated with Contracting Between Area Agencies on Aging and Health Care Entities
Partnerships between health care organizations and AAAs can benefit from a clear understanding of internal capabilities and external environmental factors.
Peer-Reviewed Article
Impacts of Community-Based Care Program on Health Care Utilization and Cost
Community-based care management programs for patients with complex health and social needs have the potential to reduce hospitalizations and inpatient costs.
Peer-Reviewed Article