How to help community health workers succeed, according to UPenn research

By Akshita Singh | October 9, 2018 at 5:44 PM

Many healthcare organizations are trying to improve population health with a concerted effort around the social determinants of health. An area of innovation and promise is the use of community health workers, or CHWs, which are individuals from local communities who can see and act on social issues that are invisible to community outsiders, as a result of their personal lived experiences and established relationships.


Poor care coordination is most prevalent cause of medical-related oncology errors, say VA researchers

By Akshita Singh | October 8, 2018 at 3:46 PM

Although oncology care providers are leaders in patient-safety, oncology-related medical errors do happen. Such errors may result in patient injury or death. The Veterans Health Administration (VHA) National Center of Patient Safety used data obtained from the adverse event reporting database for root cause analysis (RCA) to specify how and why these adverse events occurred in the VHA and what can be done to avoid these occurrences in the future.


Social Determinants of Health Innovation in New York State

By Amy Vreeland | September 28, 2018 at 3:45 PM was honored to be invited to share a poster presentation at the Social Determinants of Health Innovations Summit hosted by the New York Department of Health earlier this week.  It was a wonderful opportunity to talk to people about their innovative ideas and approaches to helping address the social determinants of health for New Yorkers.  Thanks to everyone for their interest in’s approach, too. And wow - what a wonderful turnout of people who are committed to creating innovative approaches to help address the social determinants keeping people from their best health.


How CareMore’s Togetherness Program is Tackling the Loneliness Epidemic

By Akshita Singh | September 25, 2018 at 10:26 AM

An increasing number of health care providers and health delivery systems are beginning to understand that loneliness is far more than a temporary feeling or theoretical idea, but rather, a condition with clear adverse effects on health. Physician and former US Surgeon General, Dr. Vivek Murthy, stated, “the most common pathology I saw was not heart disease or diabetes, it was loneliness.” He went on to further explain that rates of loneliness have doubled since the 1980s and called the loneliness crisis a “growing epidemic.”


Care coordination, SDOH focus helped NY reduce Medicaid readmissions by 18%

By Amy Vreeland | July 9, 2018 at 12:52 PM

As we all know, Medicaid systems are under intense pressure to redesign care and improve outcomes. Kudos to New York on an innovative approach that is showing great results. Through their Delivery System Reform Incentive Payment (DSRIP) efforts, the state Department of Health recently reported an 18-percent decrease in hospital readmissions for high-risk Medicaid patients over a three-year period.


2018 Release Timeline

By Katie Hurley | February 6, 2018 at 7:00 AM
For customers and users, here is a run-down of 2018 releases in the®  platform:

Building Trust on Skid Row: A Walking Tour with LA's Skid Row Housing Trust

By Dan Kamyck | December 1, 2017 at 12:44 PM

Across the County of Los Angeles, the homeless population has soared 23% over last year, totaling an estimated 58,000 people. According to the county's annual homeless count, one in four homeless people are “sheltered” in an emergency shelter or longer-term transitional program, and three in four homeless people live on the street.


How Medicaid Care Redesign Efforts Can Address Complex Health & Social Needs

By Amber Oblinger | November 7, 2017 at 10:30 AM

There is some truly admirable healthcare redesign happening in New Jersey. I recently attended the 3rd Annual Good Care Collaborative Conference in Trenton, NJ – an educational event dedicated to solving the challenges of the state’s Medicaid population through community collaboration and idea sharing. While listening to a panel discussion titled “NJ Policy Recommendations to Advance Complex Care,” one panelist shared something that truly resonated with me. Marilyn Mock, Director of Social Services from Fair Share Housing Development said, “We have to be careful with our language and using terms like vulnerable” when describing Medicaid populations. Instead, she chooses to use the term “marginalized.”


Unpacking “Savings” Concepts at Accountable Care Organizations

By Dan Kamyck | October 18, 2017 at 1:33 PM

The meaning of the term “savings” for an ACO continues to generate some confusion. There are actually a few ways to measure savings, and the concepts can be surprisingly challenging. It doesn’t help that the evidence base for these savings concepts is still emerging. This leads some people to question why should we continue the ACO experiment. A new blog article on Health Affairs explains why ACOs still deserve a shot.


New Feature Launch and Update

By Meghan LaMacchia | October 6, 2017 at 10:59 AM

Welcome to Projects!