Displaying 21 - 40 of 83

Easy to Use and Validated Predictive Models to Identify Beneficiaries Experiencing Homelessness in Medicaid Administrative Data

A validated predictive model for health care stakeholders to better identify and address homelessness and its related outcomes.

Peer-Reviewed Article

February 2023

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

February 2023

Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid

Medicaid health plan-led community health worker program showed moderate evidence for increased outpatient care and primary care use.

Peer-Reviewed Article

January 2023

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

October 2022

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

September 2022

Integrating Spiritual Care in Population Health and Care Management: Two Case Examples

Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.

Case Example

September 2022

Prediction of Future Health Care Utilization Through Note-Extracted Psychosocial Factors

Natural language processing of patient visit notes can help providers identify social factors that may lead to health care utilization for older adults with multiple chronic conditions.

Peer-Reviewed Article

June 2022

State of the Science on Social Screening in Healthcare Settings

Summarizes research on the prevalence of social screening in health care settings, validity of social screening tools, and patient and provider perspectives on social screening.

Brief/Report

June 2022

Improving Care Coordination and Reducing Emergency Department Utilization Through Patient Navigation

A short-term emergency department navigator program helped address acute care utilization for individuals with low baseline utilization through primary care follow up appointments and assistance with social needs.

Peer-Reviewed Article

May 2022

Applying the ROI Calculator for Partnerships to Address Social Determinants of Health

Described how health care organizations and community-based organizations can use the ROI Calculator to explore and plan financial arrangements to fund social services for people with complex needs.

Webinar

May 2022

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

May 2022

Housing and Health

Curates recent evidence behind housing programs and interventions, and explores practical tools and case studies on effective strategies for improving the health of people experiencing homelessness or unstable housing.

Collection

April 2022

Impact on Health Care Utilization and Costs of a Medicaid Community Health Worker Program in Detroit, 2018–2020: A Randomized Program Evaluation

Medicaid enrollees in a community health worker program had fewer emergency department visits and more outpatient ambulatory care use than beneficiaries who received usual care.

Peer-Reviewed Article

April 2022

Positioning Community Health and Social Workers to Address Older Adults’ Social Needs: Lessons from SCAN Health Plan

Shared practical implementation considerations that can support health plans and provider groups in developing community-based models of care that use the strengths of social workers and community health workers.

Webinar

April 2022

Care Management Intervention to Address Determinants of Health for Individuals with Multiple Behavioral Health Readmission

Care management interventions for people transitioning from behavioral health inpatient care may be successful in decreasing readmissions if they address health-related social needs.

Peer-Reviewed Article

April 2022

Permanent Supportive Housing with Housing First: Findings from a Community Guide Systematic Economic Review

The economic benefits of permanent supportive housing programs with a Housing First approach exceed the costs in the U.S., with a benefit-to-cost ratio of 1.8:1.

Peer-Reviewed Article

March 2022

Recovery Coaching In and Out of Emergency Departments: an Overview of the Connecticut Community for Addiction Recovery’s (CCAR) Emergency Department Recovery Coaching Program

A hospital-based program showed that peer recovery coaching can be seamlessly integrated into the workflow of busy emergency departments to address the longer-term needs of people with substance use disorders.

Case Example

February 2022

ACO and Social Service Organization Partnerships: Payment, Challenges, and Perspectives

Accountable care organization leaders share perspectives on payment mechanisms used with social service organizations, challenges experienced, and the impacts of these partnerships.

Peer-Reviewed Article

January 2022

Mechanisms for Community Health Worker Action on Patient-, Institution-, and Community-Level Barriers to Primary Care in a Safety-Net Setting

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.

Peer-Reviewed Article

January 2022

Cost and Utilization Impacts of a Medicaid Managed Care Organization’s Behavioral Health Wraparound Program

Behavioral health wraparound program led to reduced utilization and costs in first month after an emergency department or behavioral health admission, but mixed results occurred in subsequent months.

Peer-Reviewed Article

January 2022

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Easy to Use and Validated Predictive Models to Identify Beneficiaries Experiencing Homelessness in Medicaid Administrative Data

The Role of Community Health Workers in the Health and Well-Being of Vulnerable Older Adults During the COVID-19 Pandemic

Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid

Association of National Expansion of Insurance Coverage of Medically Tailored Meals with Estimated Hospitalizations and Health Care Expenditures in the US

Guide to Evidence for Health-Related Social Needs Interventions: 2022 Update

Integrating Spiritual Care in Population Health and Care Management: Two Case Examples

Prediction of Future Health Care Utilization Through Note-Extracted Psychosocial Factors

State of the Science on Social Screening in Healthcare Settings

Improving Care Coordination and Reducing Emergency Department Utilization Through Patient Navigation

Applying the ROI Calculator for Partnerships to Address Social Determinants of Health

Factors Associated with Contracting Between Area Agencies on Aging and Health Care Entities

Housing and Health

Impact on Health Care Utilization and Costs of a Medicaid Community Health Worker Program in Detroit, 2018–2020: A Randomized Program Evaluation

Positioning Community Health and Social Workers to Address Older Adults’ Social Needs: Lessons from SCAN Health Plan

Care Management Intervention to Address Determinants of Health for Individuals with Multiple Behavioral Health Readmission

Permanent Supportive Housing with Housing First: Findings from a Community Guide Systematic Economic Review

Recovery Coaching In and Out of Emergency Departments: an Overview of the Connecticut Community for Addiction Recovery’s (CCAR) Emergency Department Recovery Coaching Program

ACO and Social Service Organization Partnerships: Payment, Challenges, and Perspectives

Mechanisms for Community Health Worker Action on Patient-, Institution-, and Community-Level Barriers to Primary Care in a Safety-Net Setting

Cost and Utilization Impacts of a Medicaid Managed Care Organization’s Behavioral Health Wraparound Program