rwjf-tag: Capacity considerations

The SCAN Foundation. (2019). Blueprint for health plans: Integration of community-based organizations to provide social services and supports. Long Beach, CA: The SCAN Foundation.

This report examines the challenges and opportunities that health plans serving the dual eligible population face and a roadmap for how plans can develop networks that reflect both the social and medical needs of members. Health plans are only one part of the system that serves the dual eligible population, and coordination efforts by all… Read more »

Dorn, S. (2011). How human services programs and their clients can benefit from national health reform legislation. Washington, DC: Urban Institute.

To help human services advocates and administrators understand and take advantage of these opportunities while limiting the risks presented by health reform, this paper begins by describing the ACA’s key provisions. It then analyzes how other need-based programs could build on the ACA to implement 21st-century eligibility approaches with highly streamlined methods of enrollment and… Read more »

Boris, E.T., de Leon, E., Roeger, K.L., & Nikolova, M. (2010). Contracts and grants between human service nonprofits and governments. Washington, DC: Urban Institute.

This brief summarizes results of the 2010 National Survey of Nonprofit-Government Contracting and Grants, a study of human service organizations designed to document the extent of nonprofit-government contracting, processes and problems. It also examines the impact of the recession on these organizations and the cutbacks they have made to keep their programs operating. While contracting… Read more »

Mattessich, P.W., & Rausch, E. J. (2014). Cross-sector collaboration to improve community health: A view of the current landscape. Health Affairs, 33(11), 1968-1974.

This article offers an empirical perspective on the general status of such collaboration based on results from a national survey of practitioners in the community development and health fields. Study results show that cross-sector efforts to improve health are widespread across the United States. Community development organizations, including community development financial institutions, support a wide… Read more »

Ormond, B., Richardson, E., Spillman, B., & Feder, J. (2014). Health homes in Medicaid: The promise and the challenge. Washington, DC: Urban Institute.

This article examines potential benefits and challenges with the Medicaid health homes model. Challenges include: short time frames to see reform efforts; meaningful cultural change needed among providers in order for collaboration to be successful; communication is technically, legally, and operationally complex; and information-technology systems to facilitate meaningful information sharing require capital and human resource… Read more »

Prevention Institute. (2013, February). Opportunities for advancing community prevention in the State Innovation Models initiative [Memo]. Oakland, CA: Author.

This memo argues that State Innovation Models (SIM) represent an opportunity for states to refocus their healthcare systems in ways that reduce costs and improve outcomes, with a focus on prevention at the population level. To do so, the following are needed: data collection tools; expanded workforce capacity, including the training and incorporation of “navigators”… Read more »

Edmonds, A., Braveman, P., Arkin, E., & Jutte, D. (2015). Making the case for linking community development and health: A resource for those working to improve low-income communities and the lives of the people living in them. San Francisco, CA: Center on Social Disparities in Health.

This report seeks to increase knowledge of shared values and goals and raise awareness of how organizations are working together across the country at the intersection of community development and health. This report examines the following questions: What do community development and health have in common?; How do neighborhood conditions shape health?; How can the… Read more »

Miller, E., Nath, T., & Line, L. (2017). Working together toward better health outcomes. Hamilton, NJ: Partnership for Healthy Outcomes.

In this report, the Partnership for Healthy Outcomes – comprised of Nonprofit Finance Fund (NFF), Center for Healthcare Strategies (CHCS), and the Alliance for Strong Families and Communities (Alliance), with support from the Robert Wood Johnson Foundation (RWJF) – set out to capture and analyze the lessons emerging in this dynamic space, as organizations explore… Read more »

Fraze, T., Lewis, V.A., Rodrigues, H.P., & Fisher, E.S. (2016). Housing, transportation, and food: How ACOs seek to improve population health by addressing nonmedical needs of patients. Health Affairs, 35(11), 2109-2115.

Using qualitative interviews with Accountable Care Organizations (ACOs) leaders and site visits, this study examines how ACOs addressed the nonmedical needs of their patients, and the extent to which they did so. The authors developed a typology of medical and social services integration among ACOs that disentangles service and organizational integration and found that the… Read more »

Rosenbaum, S., Riley, T., Bradley, A.L., Veghte, B.W., & Rosenthal, J. (2017). Strengthening Medicaid as a critical lever in building a culture of health. Washington, DC:  National Academy of Social Insurance.

This report argues that Medicaid functions as a key economic engine, anchoring health care services in communities., and an important entry-point for human/social services. As Medicaid expands it gains leverage to direct changes in how healthcare services are delivered. Medicaid faces several challenges including: 1) poverty and an aging population; 2) cost of transformation; 3)… Read more »

Easterling, D., & McDuffee, L. (2018, March 14). Finding leverage over the social determinants of health: Insights from a study of 33 health conversion foundations. Winston-Salem, NC: Wake Forest School of Medicine.

This article analyzed the strategic frameworks of 33 conversion foundations from throughout the US that have a reputation for addressing social and economic issues through interviews with foundation leaders. Authors identified five strategic pathways for improving social and economic condition that ranged from improving existing institutions to changing who has political power, and argue that… Read more »

Amarasingham, R., Xie, B., & Karam, A. (2018, January). Using community partnerships to integrate health and social services for high-need, high-cost patients. Washington, DC: The Commonwealth Fund.

This brief profiles and classifies community partnership initiatives to understand common challenges and identifies solutions. The authors identified five common challenges: inadequate strategies to sustain cost-savings, improvement, and funding; lack of accurate and timely measurement of return on investment; lack of mechanisms to share potential savings between health care and social services providers; lack of… Read more »