Displaying 1 - 20 of 28

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

Peer-Reviewed Article

August 2023

Community Health Worker Programs

Curates recent evidence behind community health worker programs that support people with complex health and social needs, as well as practical strategies to support effective implementation of these programs.

Collection

April 2023

Lifting the Veil How Networks Form Operate Struggle and Succeed

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

Brief/Report

April 2023

Community Health Worker Model Best Practice Toolkit for Designing, Implementing and Showing Impact

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

Implementation Tool

March 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

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

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

How do Area Agencies on Aging Build Partnerships with Health Care Organizations?

AAAs and other community-based organizations can take key steps to improve their capacity for cross-sector partnerships to address health-related social needs of older adults.

Peer-Reviewed Article

January 2022

Aligning Health Care and Social Services for Patients with Complex Needs

Varying structures of cross-sector partnerships between health care organizations, social service agencies, and local government bodies have distinct strengths and serve different functions.

Brief/Report

December 2021

A Community Partnership to House and Care for Complex Patients

A cross-sector partnership to enroll older adults experiencing homelessness in permanent supportive housing led to meaningful reductions in health care costs.

Peer-Reviewed Article

August 2021

Interventions to Address Social Isolation and Loneliness: Lessons Learned from Programs Around the Globe

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

Brief/Report

May 2021

Money Moves the Mare: The Response of Community‐Based Organizations to Health Care’s Embrace of Social Determinants

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.

Peer-Reviewed Article

January 2021

COVID-19 Social Health Playbook

Presents tools and tips frontline care management staff to address high-risk patients’ unmet social health needs during the COVID-19 pandemic.

Implementation Tool

October 2020

Linking Health And Social Services Through Area Agencies On Aging Is Associated With Lower Health Care Use And Spending

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

Peer-Reviewed Article

April 2020

Assessing The Capacity Of Local Social Services Agencies To Respond To Referrals From Health Care Providers

Health care systems may need to tailor screening and referral approaches for social needs, as some needs may be less likely to be met by social service organizations.

Peer-Reviewed Article

April 2020

Health Care Access Now: Calculating the ROI of a Care Coordination Program to Address Social Determinants of Health

Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.

Case Example

March 2020

Homage: Calculating the ROI of a Partnership to Meet the Health-Related Social Needs of Medicare Advantage Plan Members

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

Case Example

March 2020

Cross-sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships

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

Peer-Reviewed Article

October 2019

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Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

Community Health Worker Programs

Lifting the Veil How Networks Form Operate Struggle and Succeed

Community Health Worker Model Best Practice Toolkit for Designing, Implementing and Showing Impact

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

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

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

How do Area Agencies on Aging Build Partnerships with Health Care Organizations?

Aligning Health Care and Social Services for Patients with Complex Needs

A Community Partnership to House and Care for Complex Patients

Interventions to Address Social Isolation and Loneliness: Lessons Learned from Programs Around the Globe

Money Moves the Mare: The Response of Community‐Based Organizations to Health Care’s Embrace of Social Determinants

COVID-19 Social Health Playbook

Linking Health And Social Services Through Area Agencies On Aging Is Associated With Lower Health Care Use And Spending

Assessing The Capacity Of Local Social Services Agencies To Respond To Referrals From Health Care Providers

Health Care Access Now: Calculating the ROI of a Care Coordination Program to Address Social Determinants of Health

Homage: Calculating the ROI of a Partnership to Meet the Health-Related Social Needs of Medicare Advantage Plan Members

Cross-sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships