A randomized controlled trial found Denver’s Housing First program led to positive impacts on health and utilization for individuals experiencing chronic homelessness and frequent periods of incarceration.

CAPABLE, a home-based care program that provides interdisciplinary services for older adults, leads to reductions in disability as well as cost savings.

A novel street psychiatry program offers essential mental health support to unsheltered individuals experiencing homelessness.

A longitudinal study found that members of recovery community centers had increased rates of substance use abstinence, psychological well-being, and quality of life after three months of engagement.

Case studies and lessons from evidence-based interventions to address social isolation and loneliness in older adults.

Literature review examines the roles and contributions of community health workers in improving dementia care.

Suggests that community-based organizations are responding to Medicaid redesign efforts that prioritize social determinants of health by adopting practices similar to health care organizations.

Embedding a health navigator in a senior housing community improved residents’ sense of physical, mental, and social well-being.

Details funding opportunities and successful approaches in the adoption of evidence-based health promotion and disease prevention programs within community-based organizations.

Identifies opportunities to strengthen integrated programs to improve care and support positive health outcomes for dually eligible individuals both during and beyond the pandemic.

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

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

Multisector partnerships that include Area Agencies on Aging may reduce health care use and spending.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.

Recommendations for integrating social and health care to improve the nation’s health.

Community approaches to reducing care utilization and costs.

A permanent supportive housing program did not improve most measures related to physical health for individuals experiencing chronic homelessness, but did improve access to and trust in primary care.

Program based in affordable housing sites for older adults and people with disabilities has favorable impact on Medicare and Medicaid expenditures and helps residents remain in community settings.

This resource is an updated quick reference guide to promising models for people with complex needs.