Partners in Care

Partners in Care Foundation is a California-based healthcare organization that specializes in the integration of social determinants of health with clinical care delivery. The foundation provides a suite of services including care coordination, chronic disease self-management education, and home-based primary care interventions designed to support high-risk populations. By partnering with health plans, hospital systems, and physician groups, the organization implements evidence-based programs that aim to reduce hospital readmissions and improve health outcomes for older adults. Their work is centered on bridging the gap between medical services and community-based support, utilizing a Social Health Information Exchange to streamline care transitions. As a leader in the field of social care integration, the foundation plays a key role in the shift toward value-based healthcare models.