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Integrating Health and Social Services through a Novel Independent Practice Association

This study investigates the impact of a novel independent practice association (IPA) formed among community-based social service organizations (CBOs) to address social determinants of health among residents of upstate New York. The Healthy Alliance IPA allows diverse CBOs offering services for housing, transportation, food, and other social needs to join together in a shared-governance association that facilitates referrals, care coordination, and performance-based contracting with health plans and medical providers.

Aligning Health and Social Systems to Expand Evidence-Based Home-Visiting

This study tests the effectiveness of multi-sector financing and delivery strategies in expanding the reach and impact of the Nurse-Family Partnership (NFP) program across the U.S. Despite rigorous evidence of its ability to improve health and social outcomes for low-income pregnant women and their children, the NFP home visiting program currently reaches only a small proportion of the communities and families who could benefit from it.

Integrating Health and Social Services for Veterans by Empowering Family Caregivers

Injured war veterans face substantial barriers to maintaining employment, high levels of family strain, homelessness, and extensive unmet physical and mental health needs. The Department of Veterans Affairs (VA) offers a range of medical, public health, and social services to eligible veterans; however, these services reside within distinct bureaus leading to service fragmentation, poor alignment with veteran needs, and variability in access across medical centers.

Testing an Integrated Delivery and Financing System for Older Adults with Health and Social Needs

Addressing the social determinants of health is vital to improving individual and population health and advancing health equity. Research indicates that integrating health and social services is both necessary and cost-effective. This is especially true for the growing number of older adults who face increasing risk of multiple chronic health conditions, cognitive decline, and disability. The Community Care Connections program developed by Lifespan of Greater Rochester integrates care navigators and health care coordinators into the workflow and referral systems in health care delivery settings.

Lives in Progress Collective

Lives in Progress Collective is a national collective of leaders with disabilities focused on transforming self-direction and defining what's possible in their lives. Their systems alignment challenge is to enable BIPOC people with disabilities to be visible, essential members of their local...

Redemption and Advancement Alliance

Redemption and Advancement Alliance (RAA) is located in Atlanta, Georgia and works to advance opportunities for people experiencing poverty, mass incarceration, and reentry in ways that promote personal and financial success and social equity. RAA's systems alignment intervention is the “New G...

Targeted Research Funding

The Systems Alignment Innovation Hub (SAIH) launched Targeted Research Funding grants to fund innovative systems alignment approaches that engages partners from the medical, public health, and social services sectors in collaborative efforts to dismantle structural and systemic racism and improve...