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.

Integrating medical, behavioral health, and social services data tells a fuller story of frequent emergency department users’ service utilization and may identify candidates for care coordination.

Assessing post-discharge needs.

Impact of social needs navigation program on future utilization of patients with prior high utilization.

The value of community health workers in advancing health equity.

Highlights early findings demonstrating that Medicare-Medicaid integration can improve beneficiary experience and health outcomes, increase program efficiencies, and improve Medicaid program management.

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

Ten common attributes for successful care management programs serving high-need, high-cost populations.

When identifying patients with complex health needs for interventions, algorithms that rely on cost data as a proxy for health status may lead to under-identification of Black patients.

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

Effectively implementing medications for addiction treatment programs in primary care settings.

A community-based palliative care program reduced medical costs, intensive care unit (ICU) admissions, hospital admissions, and days spent in the hospital for Medicare Advantage members with serious illness.