Home-based primary care nurse practitioners improve health outcomes for homebound older adults.

Evaluation of state Medicaid health home model programs details approaches for implementation and outcomes for enrolled members.

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.

Brief provides overview of medication therapy management in Medicaid to support members with multiple chronic conditions.

This study offers a standardized approach for embedding community health workers into primary care, providing a valuable framework for health systems aiming to integrate this workforce.

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.

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.

Systematic review finds that fruit and vegetable incentive programs reduce food insecurity, increase fruit and vegetable consumption, and improve blood glucose levels among low-income populations.

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.

A produce prescription program leads to improvements in blood pressure and A1c levels and reductions in food insecurity for people with or at risk of type 2 diabetes.

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

Systematic review shows produce prescription programs improve food security, reduce blood glucose levels among patients with diabetes, and have mixed evidence for other health outcomes.

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