Patients and community health workers (CHWs) share perspectives on the impact of CHW services provided within a primary care setting to address barriers to equitable care.

Discusses the benefits and challenges of tele-social care and offers practical tips for providers administering telehealth services for social care activities.

A medical respite program for people experiencing homelessness shows evidence of reduced hospital readmissions and emergency department revisits.

Home-based program provided by a community health and social worker reduces acute care use and improves care for older adults with complex health and social needs.

An affordable housing program in Baltimore generates between $1.30-$1.92 of “social return” in the community for every dollar invested annually.

Home-based primary care programs enable care teams to gain insights on a variety of social factors that impact older adults’ health, which allows them to better tailor care to meet patient needs.

Demonstrates that a program assisting older adults with complex needs in navigating medical and social services may lower acute care utilization.

Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.

California’s Whole Person Care pilot can inform cross-sector initiatives to improve care for Medicaid enrollees with complex health and social needs.

Supportive housing placement for people with substance use disorder (SUD) who are homeless reduces SUD-related health care utilization.

Moving patients out of the ED and into community support.

A regional approach to health care transformation.

By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.