Community health worker interventions are effective for improving health behaviors and outcomes and reducing health care costs for people with chronic disease.

This report highlights challenges of network-based contracting between health care entities and community-based organizations and shares tips for successful implementation.

Well-designed bidirectional community and referral pathways may help bridge the community-clinic divide.

Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.

Embedded peer navigators provide support and mentorship for people experiencing homelessness, leading to increases in chronic disease screening and referrals.

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

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.

Social and legal services to address health care costs and utilization may be most effective for individuals with moderately high utilization who are less clinically complex.

Report explores the definition and components of street medicine and outreach, as well as provides best practices for delivering this type of care.

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.

Partnerships between community-based organizations and primary care providers can improve depression care for older adults.

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.

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.

Resources to help organizations develop and improve medical respite programs for people experiencing homelessness.

State investments in enhanced primary care for older and chronically ill individuals recently released from incarceration yielded a $2.55 return on investment for Medicaid and criminal justice combined.

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

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.