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Improving care for people with complex needs

Woman smiling at a podium onstage at a Putting Care at the Center conference
Program participant hugs care team member as both smile on a couch
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Our health and social systems will work for everyone when they work for those they are failing the most.

Currently, our healthcare and social systems are set up to treat individual needs in isolation. By piloting and demonstrating care models that work for those with the most complex needs, we work to transform and connect fragmented systems — in Camden, across New Jersey, and around the country — into equitable ecosystems of care.

Because when providers, organizations, and sectors work together, every individual — regardless of their needs — can receive person-centered care.

About the Camden Coalition

Housing First participant hugs community health worker in his new apartment

Advancing equitable ecosystems of care

No single organization can meet all of its community members’ needs. For truly coordinated whole-person care, organizations, sectors, fields, and professions must work together. We support South Jersey’s ecosystem of care as a designated Regional Health Hub, and work with communities across the country to build and strengthen their own care ecosystems.

Community event checking blood pressure

Demonstrating what works

From new care management pilots to system redesign to national learning collaboratives, we demonstrate what works and what doesn’t to improve care, build an evidence base for the complex care field, and share best practices through teaching and training.

Learn more about our work

New at the Camden Coalition

The ROI of resource navigation: Findings from the Accountable Health Communities Model
CHW provides resources to a community member

The ROI of resource navigation: Findings from the Accountable Health Communities Model

Join us for a webinar on the surprising findings of the final evaluation report on the Accountable Health Communities (AHC) model from CMMI. Camden Coalition staff will be joined by Dawn Alley, Head of Scale at IMPaCT Care and former Chief Strategy Officer at CMMI to explore context of the AHC Model and how it was developed, what implementation looked like on the ground, and implications of the findings for care providers, payers, and policymakers.

January 21, 2025, 1-2 pm ET

Proven ‘housing first’ program lost half its state funding. Will next budget restore it?

Proven ‘housing first’ program lost half its state funding. Will next budget restore it?

NJ Spotlight News covered a recent visit by state legislators to the homes of two of our Housing First participants as we advocate for restored funding in 2025. As NJ Assembly Majority Leader Lou Greenwald said, “the [Camden Coalition] program’s been wildly successful. [To] actually walk through it and meet the people and the success stories after all this time is a wonderful experience, but I think it opens peoples’ eyes to be able to understand that this is working.”

Building a longitudinal community supports model
nurse checking heartbeat

Building a longitudinal community supports model

What are new 1115 waivers that allow Medicaid to address health-related social needs still missing? For people with the most complex needs, point-in-time community services and time-limited care management aren’t enough. Long-term, community-based support — like our Housing First program — need to be funded and prioritized. Read more in a Health Affairs Forefront commentary from our CEO Kathleen Noonan and Penn Leonard Davis Institute Senior Fellow Mary Naylor.

New resources for better care

Putting Care at the Center attendees holding the COACH fact sheet
Camden Coalition staff laugh in front of white board covered with post-its
Adding post-it to poster labeled "complex care ecosystem"

See all our resources