Evidence map›Paper›PMID 41878004›Full record

ArticleHealth affairs scholar2026

Design and early evaluation of a social care network's impact on health care costs.

Kathleen Galper, Cynthia Miguel, Keith LeJeune, Jillian M Rung, Brad Eddy, Amit Kale, Maggie Schano, Emily Brignone

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kathleen GalperHighmark Health Research Institute, Pittsburgh, PA 15222, United States.ORCID https://orcid.org/0009-0009-6154-2106
Cynthia MiguelHighmark Health Research Institute, Pittsburgh, PA 15222, United States.ORCID https://orcid.org/0009-0007-0258-5910
Keith LeJeuneHighmark Health Research Institute, Pittsburgh, PA 15222, United States.ORCID https://orcid.org/0009-0005-5923-9715
Jillian M RungHighmark Health Research Institute, Pittsburgh, PA 15222, United States.ORCID https://orcid.org/0000-0002-5945-6454
Brad EddySocial Determinants of Health Department, Highmark Health, Pittsburgh, PA15222, United States.
Amit KaleSocial Determinants of Health Department, Highmark Health, Pittsburgh, PA15222, United States.
Maggie SchanoSocial Determinants of Health Department, Highmark Health, Pittsburgh, PA15222, United States.
Emily BrignoneHighmark Health Research Institute, Pittsburgh, PA 15222, United States.ORCID https://orcid.org/0000-0001-7138-4775

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The Social Care Network (SCN) is a payor-provider-system integrated social care referral model designed to address historical challenges of scalability and sustainability through structured partnerships with community-based organizations (CBOs) and incentives for referral tracking and service delivery. Methods: To evaluate the effect of the SCN on completion of referral updates (ie, loop-closure), receipt of services, and medical costs and utilization, we conducted a quasi-experimental difference-in-differences analysis among insured adults referred to the SCN (8/2022-10/2024). Medical costs and utilization were compared between individuals who did and did not receive services. Program outcomes were compared between SCN and non-SCN CBOs. Results: Of 2305 SCN CBO referrals, 85% were closed-loop versus 24% of 8288 non-SCN CBO referrals ( Conclusions: These results suggest that a scalable, sustainable social care network can be implemented within a health system. Embedding community-based social care in value-based contracts aligns accountability across sectors, increases successful referrals, and reduces downstream medical costs.

Indexed as

alternative payment modelscommunity based organizationhealthcare utilizationmedical costsreal-world evidencesocial determinantssocial health integration

Identifiers

PMID41878004
PMCPMC13008006

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.