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.

This brief offers tips for managed care organizations and Medicaid agencies on how to incorporate community health worker expertise when building or enhancing CHW programs.

A guide for health care organizations on evidence-based strategies to implement food and nutrition security programs.

Guide offers implementation recommendations for introducing food insecurity screenings in clinical settings, including workflow and staffing considerations.

Food banks can use this tool to learn approaches to information-sharing for health care partnerships and interventions.

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

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.

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.

Trust, flexible funding, cross-sector support, sustainability, and an explicit focus on structural racism are identified as key components of effective community engagement to advance health equity.

Consumers and staff members of health and social service organizations share their community engagement experiences.

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.