Advancing Resilience & Community Health

A safe, clean place to live. Neighborhoods and parks where people can walk and play. A job that pays a living wage. Nutritious food on the table. Along with good medical care, these are some of the many factors that help make us healthy. Providers and payors in the healthcare system increasingly recognize that where we work, play, and live – what are called the “social determinants of health”– are as important to their patients’ health as good medical care. Nonprofit community-based organizations (CBOs) have long focused on addressing these social determinants of health (SDOH). So, how can healthcare organizations and CBOs work together to better care for their clients?

Advancing Resilience and Community Health (ARCH) is a project to help the burgeoning relationships between healthcare institutions (payors and hospital systems) and CBOs get off the ground successfully and at a scale that will make a difference. We are helping ready networks of CBOs – nonprofits that have already come together to address multiple needs – that are looking to collectively contract with often-larger healthcare institutions. These new contract relationships hold tremendous promise, but there are some significant barriers and tough questions we’re working together to resolve, such as:

  • How are CBOs working together collaboratively to build agreements with healthcare?
  • What are new payment models for this integrated work?
  • What do fair contracts look like?
  • How can CBOs prepare for an influx of new client referrals from their healthcare partners?
  • How do we structure contracts to focus on long-term patient well-being?

What's New?

Check out our first look at networks across the US for a snapshot of common characteristics.

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Learn along with us

Our experience with innovative partnership models around shared goals gives us great hope, but CBO/healthcare contract relationships are relatively new territory and we’re all learning a lot about what they take. So, in addition to working directly with three CBO networks – EngageWell IPA, Metropolitan Alliance of Connected Communities, and Thomas Jefferson Area Coalition for the Homeless – and their partners, we’re going to share what we learn along the way. Sign up here to get all the latest updates.


The Snapshot of CBO Networks shows the different dimensions of how CBOs come together – whether place-based, issue-based, or other – and how these dimensions combine in unique ways for each network.

Snapshot of CBO Networks
      CBO Networks Snapshot

ARCH Voices

  • EngageWell IPA is a coalition of community-based providers in New York City that offers comprehensive, integrated services to address complex medical and behavioral health needs and unmet social determinants of health, including food, housing, and economic insecurity.
  • Metropolitan Alliance of Connected Communities (MACC) is a Twin Cities, Minnesota collaborative network composed of 50 human-services nonprofits addressing housing, food insecurity, mental health, education, and more. MACC is building the infrastructure and capacity necessary to nurture trust, develop partnerships, and support the business relationships between CBOs and healthcare organizations.
  • Thomas Jefferson Area Coalition for the Homeless (TJACH) is a collaborative of community providers and funders in the Charlottesville, Virginia, area. TJACH is committed to improving health outcomes and housing stability for people experiencing homelessness or housing instability, and to reduce inappropriate use of local emergency departments through supportive housing services.

ARCH’s Advisory Group members, representing a range of fields, will provide advice, market intelligence, and expertise as participants pursue partnerships that will bring health-boosting services to more people. They include:

  • Anna Barnes, Illinois Public Health Institute
  • Tamar Bauer, TB Consulting Inc. and Entrepreneur in Residence, Project Evident
  • Stephanie Burdick, Patient Consumer Advocate
  • Lauran Hardin, National Center for Complex Health and Social Needs
  • Deborah Kozick, Center for Health Care Strategies
  • Jean Flatley McGuire, Northeastern University
  • Marisa Scala-Foley, Aging and Disability Business Institute, National Association of Area Agencies on Aging
  • Sandra Viera, Prevention Institute

Support for Advancing Resilience & Community Health was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

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