This webinar will highlight one successful CBO-health plan partnership model to explore why they entered into a partnership, how they put their contract into practice, and outcomes of the partnership so far.

Featured presenters with on-the-ground experience implementing the Transitions Clinic Network model, which provides patient-centered care for people with a history of incarceration and supports reentry into communities.

Highlighted how Denver Health, a large health system in Colorado, is integrating a trauma- and resilience-informed approach into organization-wide policy and practice.

Featured presenters with on-the-ground experience implementing the CA Bridge model for individuals with substance use disorder.

Highlighted two community paramedicine programs in New England and rural North Carolina that serve people with complex needs.

Examined the challenges associated with randomized controlled trials in complex care and how the Distillation Method can help address these challenges.

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.

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.

Explored how complex care stakeholders can incorporate a multi-factor approach to measure and demonstrate the value of complex care programs for diverse stakeholders.

Explored how health care organizations can incorporate a segmentation framework into population health management using simple algorithms.

Looked at the provider and payer relationship and discussed how successful partnerships between these two stakeholders can create sustainable and efficacious home and community based palliative care programs.

Featured promising strategies from health systems and payers — including Kaiser Permanente, New York City Health + Hospitals, and CareOregon — for effectively identifying people with complex health and social needs to inform tailored health care interventions for targeted subpopulations.

Explored considerations for health plan adoption and implementation of expanded supplemental benefits.

Explored opportunities for health systems and plans to work with CHW/Ps to support high-need individuals, with a focus on addressing the long-term impacts of the COVID-19 pandemic.

Highlighted innovations adopted by PACE organizations during the pandemic to provide care for older adults with complex needs.

Highlighted lessons from two recent studies to help guide future program and measurement approaches for complex care management interventions.

Explored how two health care innovators are engaging communities and using consumer feedback to rethink how services are designed and delivered.

Explored innovative integrated health plan approaches to improve care transitions. Health plans featured in the webinar participate in Promoting Integrated Care for Dual Eligibles (PRIDE), a project to advance health plan strategies for providing high-quality care for dually eligible beneficiaries.

Featured representatives from Adventist Health’s Project Restoration and the Camden Coalition of Healthcare Providers who engaged in a discussion focused on partnerships with multiple sectors, including police, emergency medical services, and community-based health and human services organizations.

Explored how nurses can be integrated into complex care teams. This interactive online discussion provided opportunities to share ideas and ask questions.