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Linking Medical Homes to Social Service Systems for Medicaid Populations
Webinar

Linking Medical Homes to Social Service Systems for Medicaid Populations

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This webinar outlines how implementing a web-based communication and care management platform supporting electronic communication between patient-centered medical homes and social service providers affects care for Medicaid patients.

Low socioeconomic status and other social risk factors are linked to poor health outcomes and increased emergency department (ED) visits. Assessing and addressing these social risk factors can help improve these outcomes. However, connecting social services organizations addressing these risk factors with organizations providing medical services can be very challenging, due in part to systems that do not “talk” to each other.

The research team will investigate the effects of the intervention on the identification and delivery of services to address social risks, quality of care, and unnecessary ED utilization. Findings from this study will contribute to best practices and guidance for other communities.

Publication

A Foundation For Health And Well-Being: Meaningful Employment

This publication explores how Employment and Community First Choices, a program for people with intellectual and developmental disabilities, created and paid for by TennCare, Tennessee's Medicaid program, helps participants work and live independently.

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Patients Lift Their Voices To Advance Maternal Health

This publication compiles insights from EleVATE, a program that offers group-based prenatal care with a curriculum designed by and for Black women. EleVATE explores whether changing the way clinicians interact with patients can, in itself, improve outcomes and equity.

Webinar

Multi-Dimensional COVID-19 Control in the U.S.

This webinar presents how the allocation of resources across medical, social, and public health services at the county level influences the relative success in controlling the progression of the COVID-19 pandemic.