Back to ResourcesBack to Resources
Using Medicaid Levers to Support Health Care Partnerships with Community-Based Organizations
Brief

Using Medicaid Levers to Support Health Care Partnerships With Community-Based Organizations

View Brief

This fact sheet outlines strategies to help state Medicaid officials encourage partnerships between community-based organizations (CBOs) and health care organizations. It features examples from four in-depth case studies of collaborative efforts across the country to illustrate key characteristics of successful partnerships.

More and more Medicaid programs are seeking to address the social needs of beneficiaries as a way to improve health outcomes and reduce unnecessary utilization. Partnerships between CBOs and health care organizations offer a key way to focus on underlying social determinants of health for Medicaid populations.

This fact sheet details:

  • Financial: Provide direct funding to help build and sustain CBO/HCO program capacity
  • Metrics: Assist in identifying measures and conducting formal evaluations to demonstrate the value of partnership programs
  • Incentives: Offer incentives to providers and managed care organizations (MCOs) to address social determinants of health
  • Policy Levers: Pursue value-based contracts with providers/MCOs, MCO regulations that allow flexibility to cover social services, and State Plan Amendments to cover specific services (e.g., through Medicaid health homes)

With support from the Robert Wood Johnson Foundation, the Partnership for Healthy Outcomes brought together Nonprofit Finance Fund, the Center for Health Care Strategies, and the Alliance for Strong Families and Communities to capture and share insights for partnerships between health care organizations and CBOs, particularly those that serve low-income and/or vulnerable populations.

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.

Webinar

Aligning in Crisis: Strategies and Tools to Leverage Federal Funding

On 9/14, experts from Aligning in Crisis, with support from the Robert Wood Johnson Foundation, will discussed how, if deployed strategically and effectively, federal funds can advance equity, shift power to the community, and set the stage for positive, long-term change.

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.