A set of resources and strategies to help health care stakeholders foster authentic, effective community engagement that drives local policy and program change.

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.

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

Program led by a nurse practitioner and community health worker improved housing stability, access to primary care, and chronic disease management among older women experiencing homelessness.

Research review finds that incorporating community health workers into primary care reduced A1c levels and improved self-management and satisfaction among older adults with diabetes.

Evaluation shares health, social, emotional, and financial outcomes resulting from community health worker programs for older adults in Texas.

This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.

Medically tailored meals significantly reduced admissions to hospitals and nursing homes for people with complex health and social needs.

Insights from experts, recent research, and state case studies offer actionable recommendations for advancing medically tailored meal initiatives to improve outcomes and reduce costs.

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

Recommendations for policymakers, health plans, and providers on implementing medically tailored meals programs.

Discharge to medical respite care leads to lower hospital readmission rates among individuals who are frequently admitted to the hospital.

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.

Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.

This resource center offers guidance to help Medicaid stakeholders engage community members in policy and program design development, especially as a means of increasing health equity.

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

Addressing care coordination and medication-related needs within a mobile integrated health care-community paramedicine program leads to a reduction in hospital readmissions.

This webinar described how the Camden Coalition has refined and expanded programs in recent years to more effectively care for adults with complex health and social needs and integrate lessons from this evidence.

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

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