Author: Candace Stohs-Krause

How Counties Drive Impact with Findhelp Data & Infrastructure

County leaders are constantly thinking about budgets, efficiency, and demonstrating value to taxpayers and community members. Findhelp provides the critical data and infrastructure to address residents’ social needs, strengthen grant applications, optimize resource allocation, and prove program effectiveness. Our comprehensive network of social care services and tools enable you to streamline referral processes, track outcomes, and connect individuals with the specific support they need.

Keep reading to learn how we help counties:

Streamline housing access by supporting coordinated entry

Strengthen CBO partnerships with real-time technical assistance

Improving quality of life with easy public access to programs that support specific populations


The challenge: Serving residents through fragmentation

A July 2025 issue brief from the National Association of Counties (NACo) Counties highlights how counties “are uniquely positioned to target social determinants of health (SDoH) with their access to data, connections to local leaders and decisionmakers, partnerships with other local services and community groups, convening power and more.” 

Even with these advantages, big roadblocks stand in your way:

  • Lack of standardized screening
  • Fragmented service delivery
  • Difficulty measuring impact
  • Agency information silos and competing priorities


Findhelp: Your county’s social care partner

Findhelp is the social care platform of choice for local, county, and state governments, from the City of Somerville in Massachusetts to the Sacramento County District Attorneys’ Office in California to the State of New Mexico, and everywhere in between. Why should your county partner with Findhelp?

  • Reliable Data & Analytics: You’re being asked to do more with less. With Findhelp, you can access search and referral data in your area and filter results by state, county, city, and ZIP Code, to identify and track local and regional trends and needs.
    • Justify funding and budget decisions, using concrete data on community needs to allocate funds with confidence 
    • Tailor service offerings to meet your community’s unique needs
    • Win more grants when you strengthen applications with compelling, real-time data that proves the needs in your community 
    • Inform public health strategies for comprehensive planning
  • Cross-Departmental Collaboration: Disparate county agencies and departments will all have access to the same system, creating a comprehensive record of a resident’s social care. Collaboration features allow navigators to share notes and updates, so that everyone is on the same page with current interventions and next steps.
  • Secure Case Management: Findhelp’s integrated case management system, Kiip, helps CBOs and nonprofits streamline their case management, reduce administrative burden, and empower their clients.
  • Data Privacy: Trust and privacy are essential to protecting dignity. Findhelp protects social care information under the same strict standards required for personal health information (PHI). We are committed to maintaining compliance through rigorous guidelines and certifications (including HITRUST).


How county governments use Findhelp data and infrastructure to lift up residents


Denton County Public Health & City of Denton | Texas

In November 2023, Denton County and the City of Denton jointly introduced FindHelp Denton County, an online resource directory powered by Findhelp that centralizes free or reduced-cost services for local residents. This intentional city-county partnership has established FindHelp Denton as a unified, accessible digital hub, empowering residents to quickly find and connect to vital assistance within their community.

Funding a collaborative, intentional resource hub implementation

Recognized with a 2025 Model Practice Award by the National Association of County and City Health Officials (NACCHO) for their innovative approach, Denton County led a presentation at the 2025 Connect Summit Conference that outlined best practices for local governments to fund and implement digital resource platforms.

  • The City of Denton prominently features the platform under its “Community Resources” and “Homelessness Solutions” webpages, highlighting tools like Coordinated Entry, food resources, and mental health navigation.
  • The platform is integrated into key city and county initiatives, offering direct links for residents to contact service navigators or complete referral forms.
  • The result is a no-wrong door system that reduces resident confusion and saves staff time previously spent redirecting phone calls and emails. 
Implementing a Resource Hub


Howard County Health Department | Maryland

Since 2021 CAREAPP (powered by Findhelp) has made it easy for Howard County residents to find and connect with over 2,500 programs to address their needs. Through effective CBO partnerships and community engagement coordination, Howard County has achieved an 86% referral response rate–this means that nearly 9 out of 10 referrals have been updated, showing a high level of community engagement with the platform.

This high level of engagement gives the county visibility into the referral lifecycle, drastically reducing the administrative burden of follow-up and confirming that partner CBOs are actively connecting with residents.

Resource management “superpowers”

The County uses Findhelp data and infrastructure, via the Program Manager tool, to help expand and maintain their local resource network. County staff regularly use the tool to both streamline internal Health Department program updates and provide real-time technical assistance to partner CBOs.

Shannon Davis, the CAREAPP Community Engagement Coordinator, says, “I serve as quality control and the one-woman curation team for CAREAPP. Having the Program Manager tool is like having Site Admin Superpowers!”.

How Howard County Uses Program Manager


Boulder County | Colorado

Find Help Boulder County is a collaboration between Boulder County Public Health, Human Services, and Early Childhood Council; the City of Boulder; and a dozen local CBOs. The platform aligns with the county’s mission to address social, economic, and environmental conditions to ensure that all residents have the opportunity for a healthy life.

Community-led implementation

Boulder County began implementing their Findhelp platform in late 2024:

  • They county collaborated with community partners who voted for Findhelp over other options.
  • As part of the implementation, Findhelp migrated county data from one platform to another to ensure continuity of care.
  • Even as the county ramps up their community engagement work, they’ve already achieved a 61% closed-loop referral rate.
    • This means that for over 6 in 10 referrals, the county has confirmed whether or not the resident’s need was actually met—moving beyond tracking activity to measuring tangible outcomes.
    • This level of data and infrastructure is critical for stakeholder engagement and strategic planning.


“Safety net providers across Boulder County have long called for a shared, up-to-date resource directory to better serve the people in our community. Boulder County Findhelp is the result of that vision—and a major collaborative effort between government and community partners. We’re proud to support this tool and hope everyone will join us in using and promoting it.”

Susan Caskey

Boulder County Human Services Director


Porter County Health Department | Indiana

Find Help Porter County is a collaboration between the county Health Department and Sheriff’s Office, Northwest Health, CoAction, and Valparaiso University. With feedback from the community, Porter County customized their Findhelp platform to residents’ needs, featuring navigation categories like Addiction & Recovery, Mental Health & Support, Families & Children, and Community Connection. 

Fast, targeted support for critical populations

To support important initiatives like reentry, aging in place, and economic stability, Porter County has effectively harnessed Findhelp’s Favorite Folders functionality to organize vital programs into intuitive categories, directly from their Findhelp homepage:

  • Veterans
  • Reentry
  • College students
  • Recovery
  • Seniors

It’s a user-friendly, regionally fine-tuned system that strengthens community care. County residents can quickly access over 600 local financial aid programs, including emergency rent help, utility assistance, and medical bills, all curated into one easy-to-navigate section. This saves valuable staff time on every case and ensures residents receive consistent, accurate information, especially in moments of crisis.


“By having a Porter County-specific page, we can include programs that may not be free or low-cost, providing a comprehensive guide to the community’s offerings. Our goal is to prevent residents from reaching the point of crisis before finding the services they need.”

Sam Burgett

Social Worker, Porter County Sheriff’s Office


Ready to drive impact?

We can provide the data and infrastructure your county needs to succeed. Schedule a demo with one of our team members to see how Findhelp can partner with your county.

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Ready to modernize your social care workflows?

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Live from New York: How SCNs Connect 1.5 Million Patients to HRSN Services

On January 1, 2025, we successfully went live with three partner Social Care Network (SCNs)—SOMOS Community Care, Forward Leading IPA, and Western New York Integrated Care Collaborative—to address the health-related social needs (HRSNs) of more than 1.5 million New York Medicaid members and pay community-based organizations (CBOs) for approved services.

Findhelp’s implementation with its partner SCNs was on-time and on-budget, meeting all of the data ingestion, platform, user experience, and interoperability requirements from the State’s 200-page operations manual. 

In only six months…

Cumulatively, the SCNs have:
  • Completed HRSN screeners for more than 60,000 NY Medicaid members
  • Assessed 6,400 individuals to determine eligibility status
  • Made 17,000 referrals for patients to local social care resources
  • Received 2,700 reimbursement requests from participating community organizations for delivered services
  • Reimbursed contracted community-based organizations (CBOs) and others with $785,000 for provided services, including care management and Medically Tailored Meals
Findhelp has:
  • Onboarded 775 organizations (both CBOs and healthcare providers) and implemented branded Findhelp platforms in partnership with the SCNs
  • Added 800 new social service programs to our network
  • Supported more than 2,700 new users who have searched for help on our SCN partners’ Findhelp platforms


In this post, you’ll learn how:

Findhelp technology enables waiver workflows

We support secure data sharing and interoperability pathways 

Findhelp’s SCN partners & New York network are making a positive impact statewide


How Findhelp supports a complex waiver program

New York’s prescriptive Medicaid 1115 waiver workflow requires SCNs and their partners to conduct specific activities. These requirements ensure that Medicaid members receive the right services in the right place at the right time. 


Medicaid member and eligibility lookup

To fulfill the state requirement of tying individual members to eligible services, Findhelp securely ingested the eligibility rosters of over a million New York Medicaid members served by their SCN partners. SCNs query the files to find the member.  Once identified, the member’s profile immediately displays their waiver eligibility status, streamlining the first step of the workflow.

Findhelp functionality supports New York SCNs under the 1115 waiver.


Screening and eligibility forms 

Findhelp has also embedded New York’s required eligibility assessment, which determines whether members meet service eligibility criteria. 

New York’s required screening tool is embedded in the Findhelp platform for SCNs and their partners to identify Medicaid members with needs at scale.Additionally, Findhelp ingests HRSN screening results from EHRs for healthcare organizations that are participating in the waiver. This enables the healthcare partners to continue their typical workflows while contributing to this important work. 

Findhelp functionality supports New York SCNs under the 1115 waiver.


Closed-loop referral tracking

After SCNs and their partners have identified a member’s need(s), they can send closed-loop referrals to CBO partners in their contracted network. Using Findhelp’s tiered network approach, SCNs can also send referrals for services that may not be covered by the waiver, but that are still important for the member’s wellbeing. 

Findhelp functionality supports New York SCNs under the 1115 waiver.


Claims submission and payment 

SCN partners use Findhelp to document the waiver services they have provided. Findhelp enables social care invoice requests and claims that include standardized codes for services provided. The SCNs use Findhelp to manage payments, while CBOs can use Findhelp to track payment for the services they provided. 

Findhelp functionality supports New York SCNs under the 1115 waiver.


Reporting and analytics

Screening, referral, and services activities are mapped to standardized social care codes for consistent and accurate reporting that meets state and CMS requirements. 

Findhelp functionality supports New York SCNs under the 1115 waiver.


The power of connection & interoperability pathways 

A core requirement of the waiver is seamless data sharing. To achieve this, Findhelp established a first-of-its-kind, direct connection with New York’s health information exchange (HIE) built on modern, federally-recognized data standards. Our approach moves beyond legacy methods, embracing HL7® FHIR® (Fast Healthcare Interoperability Resources) to ensure social care information flows securely and efficiently between SCNs, healthcare providers, and the State.

We use FHIR Bundles to exchange information. A FHIR Bundle acts as a standardized digital package, containing all relevant data for a specific interaction—such as a member’s screening results, subsequent referrals, & service updates—in a single transaction. This method offers significant advantages:


“This implementation is a true testament of our mission to connect all people and the programs that serve them, with dignity and ease. We’re excited to continue working with our Social Care Network partners to expand access to care for New York’s Medicaid members.”

Mukta Nandwani

Chief Technology Officer at Findhelp


Stronger together: Meet our partner Social Care Network (SCNs)

SCNs are new entities tasked with managing social care delivery for people with Medicaid under the state’s Section 1115 Medicaid health-related social needs (HRSN) waiver demonstration. Findhelp provides interoperable and integrated technology to three SCNs, fundamentally changing HRSN service delivery in New York. 

A major part of the state’s HRSN service delivery infrastructure, these SCNs are screening for needs, navigating people to services, building CBO networks for effective service delivery, and paying contracted CBO partners for services. 


SOMOS Community Care

A network of over 2,600 culturally competent healthcare professionals, SOMOS Community Care provides care to over 1 million patients, and their mission is to expand equity in healthcare for the most underserved communities in New York. SOMOS’ SCN serves the Bronx in New York City.

“After many months of accelerated implementation, SOMOS is excited that the program is live. Our network of CBOs, primary care physicians and other providers have been helping patients with their social needs at various degrees for years!  It’s amazing that there is finally a program that connects social care to medical care and that there’s a recognition for the need. Our partnership with Findhelp will formalize and scale this process to meet the needs of 700,000+ Medicaid members in the Bronx. Tremendous work was happening all around, but we’re grateful for the time and effort from Findhelp to make this happen timely.”

John Dionisio

Chief Information Officer at SOMOS

Forward Leading IPA (FLIPA)

FLIPA’s integrated delivery network is the first in upstate New York to unite behavioral health, social care, and primary care under one umbrella, and their mission is to strengthen healthcare through meaningful connections. Their SCN, “WeLinkCare”, serves the Finger Lakes region of upstate New York.


Western New York Integrated Care Collaborative 

WNY Integrated Care Collaborative partners with healthcare plans and providers to improve patients’ health in Western New York. Through their regional service-provider network of community-based organizations, they provide comprehensive, cost-effective, community-based integrated care. Their SCN, “The Integrated Care Network”, serves Cattaraugus, Chautauqua, Erie, and Niagara Counties in western New York.


Our statewide New York network

One of the reasons our SCN partners chose Findhelp is because we have an engaged network that’s already in place. Our network spans the entire Empire State and millions of New Yorkers are using our platform to find and connect to needed services and support.


In total, more than 12,700 programs serving New York are listed on the Findhelp platform, providing important and necessary services to New Yorkers, from food support, housing assistance, and legal aid to transportation, health care, and beyond.

Searches made in New York ZIP codes, by category of need


In the past two years, from July 2023 to June 2025, our platform supported 1.9 million New Yorkers with:


Next steps for the SCNs

Over the next two years, these SCNs will access eligibility information, screen for needs, make closed-loop referrals, pay for services, and report on outcomes for all members within their regions. Findhelp will continue to provide best practices, guidance, and platform optimization to meet their needs. These deep partnerships will power a safety net for Medicaid members, in collaboration with regional healthcare providers, community-based organizations, and others.

We recently brought our partner SCNs to our headquarters in Austin, TX, to collaborate on best practices and align on a shared roadmap for the rest of the year.

Over the next year, Findhelp is committed to enhancing our support for waiver workflows:

Findhelp has a history of successfully supporting Section 1115 waiver demonstrations and statewide HRSN service delivery across the country, from California to Massachusetts, Indiana, and beyond. We’re proud to partner with these SCNs to provide interoperable and integrated technology that will fundamentally change HRSN service delivery in New York. 


Ready to support HRSN service delivery and reimbursement 

We’re ready to help. Connect with our team to explore how Findhelp can support social care service delivery.

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Answering the Call: How Social Care Technology Powers CMS’s Value-Based Care Vision

The Centers for Medicare & Medicaid Services (CMS) is sending a clear signal: the future of healthcare is digital, and the time to build a more connected and responsive technology ecosystem is now. Through keynote discussions at its annual quality conference and a formal Request for Information (RFI) on the health technology ecosystem, CMS is mapping out a vision to empower beneficiaries, advance value-based care, and improve health outcomes with technology as a critical tool.

In this post, you’ll learn about:

CMS’ new innovation philosophy

Core principles for building a system that delivers whole-person care

The path to achieve this vision


“Curate the ecosystem, don’t build it”

A powerful theme from CMS leadership is a new philosophy for driving innovation: “curate the ecosystem, don’t build it.” In this model, CMS seeks robust public-private partnerships, where they act as the convener—identifying technologies, setting clear standards, and providing secure access to data. 

This is a pivotal and welcome moment. At Findhelp, we believe that to achieve these ambitious goals, the national strategy must extend beyond the walls of healthcare and into the community.

A modern healthcare ecosystem is incomplete without a robust, interoperable social care technology infrastructure. The following core principles are essential to building a system that delivers whole-person care.


Beyond the healthcare setting: The need for a whole-person record

To empower patients, we must first understand their full story. The most valuable health data is a longitudinal record that includes both clinical history and social care interventions. When social care platforms are integrated with electronic health records (EHRs), this comprehensive data validates a person’s lived experience and ensures the entire care team is aware of their real-world challenges. This is foundational for proactive care planning and success in any value-based care model.

Our interoperability approach


Establishing trust: Setting rules of the road for social care data

As we connect systems, we must protect people. The sensitive nature of social care data demands a trusted environment. CMS is uniquely positioned to establish foundational data privacy rules as a condition of program participation.

CMS can use its authority to create an industry standard where:

Our privacy approach


From data to action: The power of closed-loop referrals

Interoperability isn’t just about sharing data; it’s about enabling action. 

Existing interoperability frameworks are valuable for sharing that something happened—like a social needs screening was completed. However, they aren’t designed to support the real-time, transactional workflows (like referrals and scheduling) required to actually connect a person to care. This is where closed-loop referral technology becomes essential.

For value-based care to work, providers need more than a list of community resources. They need to initiate a referral seamlessly within their workflow, route it to the right community-based organization (CBO), and get confirmation that the person’s need was met. This capability builds clinical-community partnerships and ensures no one falls through the cracks.


Powering the shift to value-based care

A key driver of CMS’s technology strategy is the national shift to value-based care, a model where providers are paid for positive patient outcomes, not just for the services they deliver. This model holds providers accountable for their patients’ overall health, but much of what impacts health happens outside of the healthcare setting.

For providers to succeed in this new reality, they need tools to manage these non-medical factors. Findhelp provides this essential capability by empowering care teams to:

See how Nebraska Health Network partners with Findhelp to move beyond traditional fee-for-service reimbursement models to enhance the sustainability and scalability of SDoH projects.

SDoH Scalability and Sustainability in a Value-Based World


The path forward

The vision set forth by CMS for a technologically advanced, patient-centric healthcare system is the right one. The journey to get there requires collaboration, innovation, and a shared commitment to building bridges between systems that have been siloed for too long.

At Findhelp, we are committed to working with CMS and our partners across the country to build this future. By prioritizing open standards and integrating social care as a core component of the health technology ecosystem, we can create a system that truly connects people to the help they need, with dignity and ease.

Join us

Kansas City Social Care Summit: Trusted Networks and Community Wellbeing

Findhelp recently hosted an in-person Summit onsite at our customer St. Luke’s Health System, where we discussed Kansas City social care: how to strengthen Trusted Networks and improve regional outcomes. We brought together local leaders, healthcare organizations, and community groups to explore collaborative strategies.

In this post, you’ll learn about:

Children’s Mercy’s and Mosaic Life Care’s Trusted Networks of community partners

The regional Kansas City social care landscape

Innovative initiatives from Findhelp’s diverse Kansas City customers


Highlights from the 2025 Kansas City Summit

This year’s summit highlighted case studies and best practices for building and maintaining Trusted Networks of engaged health and social care providers. 25 participants from 17 organizations across Kansas City and Missouri joined us, representing local and state government, health care, nonprofits, and more.


We’re grateful to the Summit participants for their contributions and invaluable insights in shaping these discussions. Below are some of the key themes and takeaways from a day of learning and sharing.


Building bridges: Trusted Networks in action

We help our customers build long-term relationships, high levels of engagement, and increased closed-loop referral rates. There is value in deep, committed partnerships to maximize impact and increase funding opportunities. Partnerships take time and they take work. This is why Findhelp created Trusted Networks – tight-knit networks of priority partners that establish deep, long-term relationships which lead to better health outcomes for individuals in need.

“An important part of our strategy was to position our Findhelp platform as a community asset for the benefit of everyone. We get 1,500 to 2,000 users a month, and this speaks to Findhelp’s mission of dignity and ease by letting people search and connect to resources on their own.”

Luke Harris

Sr. Director of Operations & Population Health Management
Children’s Mercy

Read our case study with Children’s Mercy


In this panel, Mosaic Life Care, Children’s Mercy, and Bishop Sullivan Center shared their experiences in building and leveraging Trusted Networks. They delved into practical strategies and the real-world impact of strong relationships between healthcare providers and CBOs:

Discussing Kansas City social care at our recent Summit.


The evolving landscape of Kansas City social care

Drawing on Findhelp’s extensive experience with state-led initiatives, our SVP of Government Affairs, Glen Chambers, led a keynote highlighting the continued commitment from governmental entities and states to integrate social care. They provided an overview of the current SDoH landscape in Missouri and across the country.

Discussing Kansas City social care at our recent Summit.


Driving impact: Innovative regional social care initiatives

A panel of community leaders at Findhelp customers Kansas Children’s Service League, Blue Cross Blue Shield of Kansas City, Children’s Mercy Kansas City, and St. Luke’s Health System shared their organization’s unique approaches and successful programs aimed at strengthening communities.

Discussing Kansas City social care at our recent Summit.

They highlighted collaborative strategies, impactful initiatives, and the power of partnership in creating a more integrated Kansas City social care support system:

“CHWs often have a rolodex of resources but it’s personal and not transferable to other staff, and it’s out of date quickly. That’s the point of Findhelp–collectively updated. Living, breathing network instead of a static binder.”

Kristin Repp

Director of Population Health
Saint Luke’s Health System


Findhelp’s innovation hub: New features, future directions

Ty Harnden, a Sr. Account Executive at Findhelp (and long-time Kansas City resident!) showcased our most recent product releases, and provided an exclusive look at what’s coming down the pipeline, including our work with 1115 waivers and specialty networks (like AIDA) that can further streamline your social care efforts. 


Beyond the Summit: our work in Kansas & Missouri

Our network spans the entire Sunflower and Show-Me States and individuals across the region use the Findhelp platform to find and connect to needed services and support. 


As of June 2025, Findhelp partners with more than 22 customers throughout the state to connect their patients, members, students, constituents, and clients to local resources. Our data and analytic tools can identify gaps in services and provide actionable insights to inform strategy and public policy. 

Growth in searches in Kansas & Missouri on Findhelp platforms, Q1 2021 through Q2 2025


Keep learning: join our nationwide community

Findhelp partners with customers and community organizations nationwide to collaborate on social care. There are many opportunities to join the movement and get involved – connect with a Findhelp team member to learn more about how we can partner with your organization to address social needs and improve health outcomes for the people you serve.

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Findhelp + MHK: Streamline Your SDoH Workflows and Improve Member Outcomes

We’re proud to introduce our powerful new integration with MHK CareProminence®: revolutionize your member health service coordination and dramatically streamline your social determinants of health (SDoH) workflows. The Findhelp + MHK integration makes it easy to determine eligibility, assess, refer, and track outcomes. Easily connect your members with social care resources to improve health outcomes while saving your staff time and energy. 

With one click, your staff can launch into a branded Findhelp platform directly from MHK’s CareProminence platform. 


In this post, you’ll learn how:

Our MHK CareProminence® integration can boost staff efficiency

To view and report on real-time social care referral statuses within the member record

You can register for our upcoming webinar on July 23


Improve care coordination with Findhelp + MHK

This integration simplifies the process for health plan staff to connect members with essential resources. Member information auto-populates referral and assessment forms, with closed-loop referral data from Findhelp seamlessly syncing back to the CareProminence platform. This streamlined approach allows for tailored member support, catering to individual member needs, and ultimately driving improved health outcomes and overall well-being.


Efficient, integrated workflows

Staff activity and member information flows into Findhelp and back to CareProminence, so that your organization can see a complete record of a member’s needs and referrals. 

Seamlessly launch into the Findhelp platform from MHK CareProminence


How it works

1

Your staff navigate to a member profile and select the “Findhelp” button to launch a search for social care resources.

2

They are automatically logged in to the Findhelp platform via single sign-on.

3

Member demographics and contact information are passed to Findhelp.

4

Closed-loop referral data from Findhelp seamlessly syncs back to the CareProminence platform. 


“This partnership exemplifies MHK’s commitment to enhancing healthcare quality and advancing health equity. By collaborating, we empower our clients to provide expanded access to personalized, high-quality care for their members. Delivering such care is central to our mission of becoming a trusted technology partner.”

Conor Bagnell

President of MHK


MHK’s Client Summit: Value-driven social care with Findhelp

Our VP of National Accounts, Andi Gillentine, presented at MHK’s 2025 Client Summit in May. Titled “Value-Driven Social Care: Reimbursement & Sustainable CBO Engagement Success”, her presentation discussed how social care fulfillment and CBO reimbursement models create value and improve member outcomes, driving impactful social care delivery.


July 23 | See you how can integrate Findhelp with MHK for SDoH success

Imagine a world where connecting members to the social care they need is as simple as approving a claim—no extra logins, no clunky workflows, just seamless integration directly in CareProminence. Join us on July 23 for a free virtual discussion to discover how the powerful integration between MHK CareProminence and Findhelp supports:


Whether you’re a current Findhelp customer or looking to learn more about Findhelp’s capabilities, this webinar is for you.

Register to attend


Trusted by payers and health plans nationwide

Findhelp partners with more than 130 payer customers, varying in size, specialty, geography, and line of business (commercial, Medicare, Medicaid,  dental, and more), to serve more than 200 million Americans.

From small regional specialty plans serving a few counties to national Commercial plans, we help case managers connect members to local services and track social care outcomes. 


SDoH screening, referral, and outcomes data collected in Findhelp creates a longitudinal health and social care record when combined with healthcare claims. These powerful insights help address HRSNs of individual members, while aggregated data improves risk analyses and community-level awareness. Referral responses from your CBO network allow you to track performance and identify best practices in whole-person care.


Read our paper about the role of social care data in whole-person care and community health strategies for Medicaid.

Drive Medicaid Strategy with Social Care Data


See Findhelp in action—book a demo today 

Connect with us to explore Findhelp’s integration with MHK. Learn how you can seamlessly support your staff and members, driving better health outcomes.


The MHK logo, CareProminence, and Where Care + Knowledge Converge are registered trademarks of MedHOK, Inc.

Watch | Impact in Action: How KEY Project Uses Findhelp Data to Address Community Needs

KEY Project, a grassroots community center in Koʻolaupoko, Oʻahu, has stood at the heart of its community since 1968, offering essential services, belonging, dignity, and connection. It’s a safe place where people can find food assistance, youth programs, cultural education, and, perhaps most importantly, a sense of home. With Findhelp data, KEY Project is bridging gaps—connecting their community to resources and to each other, like the thousands of other organizations that are part of our network. 

In this post, you’ll learn:

KEY Project’s story

The impact they’re having on underserved Hawaiian communities

How they make data-driven decisions using Findhelp’s analytics 


Kualoa-Heʻeia Ecumenical Youth (KEY) Project

The mission of KEY Project is to nurture the well-being of people and ʻāina (land). Their programming supports, serves, and sustains their Hawaiian communities. Founded in 1968 through the efforts of churches, community residents, and social service agencies, KEY Project is a civic center providing and connecting their community to resources and to each other.

KEY Project’s pillar programs:

  • Youth Program | Offers out-of-school intersession activities, as well as year-round educational, cultural, and social opportunities.
  • Kūpuna Program |  Promotes socialization, culture, exercise, and access to healthy foods for seniors ages 50 and over, through a variety of events and activities.
  • Living Library | Dedicated to preserving the past, capturing the present and educating for the future community through digital images, video, and audio stories of resilience from neighbors.


The challenge: Understanding community needs

Many local families, especially Native Hawaiians, struggle against the pressures of an extremely high cost of living, housing scarcity, and cultural displacement. 


“We’re not in this for the money. We’re here to help the people who we care about the most. This is the place that I grew up in. And there’s nothing more that I would rather do than to serve my community.”

Keilee Simms

Kūpuna Program Coordinator, KEY Project


Using data to drive expansion

KEY Project started using Findhelp to understand the trends in the communities they serve:

Based on Findhelp’s analytics tools, KEY Project identified a need for an additional food pantry in Kahuku. As a result of this new location, nearly 800 additional households received food in 2024. 

“The coolest thing about Findhelp is that you can see what people are searching for, which is perfect because we are able to utilize that data to gather the information that’s needed to apply for grants to get more funding to be able to serve a community’s needs. We hear a lot about what is needed and what community members like and want… [but] it’s hard to make a good case for it if you don’t have the data.”

Desiree Martinez

Community Development Coordinator, KEY Project

Impact in action: Food pantry expansion serves 800 households

Our Impact in Action video series explores stories of how our customers successfully partner with Findhelp to positively impact their communities and support the populations they serve. 

Watch the short video below to see how KEY Project is using aggregate search data from Findhelp to inform their decisions and expand the impact of their food bank programs.


Kīpuka documentary: How KEY Project provides belonging

KEY Project is also the subject of our newest Findhelp Films documentary, Kīupka. In the face of soaring costs and rapid development, the community center offers more than services — it offers belonging. Through the voices of youth, elders, and community leaders, the film reveals a deeper truth: Hawai‘i’s real beauty lies not just in its landscapes, but in the resilience of its people and their commitment to protecting land, culture, and community.

As Native Hawaiian families struggle to stay rooted in their homeland, Kīpuka becomes a powerful reminder that true sustainability is built on relationships, responsibility, and the enduring spirit of aloha.

Learn more about the film


Partner with us to address community needs

If you’d like to learn more about how we partner with community-based organizations and customers nationwide and can help you build or expand your social care strategy, connect with us.

Request a short demo

Transforming CBO Case Management with Kiip

This blog is guest written by Noah Harlan, Findhelp’s new VP of Community Solutions. Charged with transforming CBO case management, Noah joined us through our 2024 acquisition of Kiip. He has 15 years’ experience creating software products for a broad range of organizations in the B2B, B2C, and government & civic tech spaces. He has a degree in Computer Science from Williams College and lives in Brooklyn, NY with his family.

Hi there—I’m Noah Harlan. In my role as the VP of Community Solutions, I focus on making connections to help simpler, faster, and more human. 

Community-based organizations (CBOs) are the unsung heroes of social services. They do incredible work with limited resources, which can mean juggling multiple tools, mountains of paperwork, and complex client needs.

They’ve told me just how overwhelming it can feel—we’re dedicated to making it easier.


Building a more responsive, client-centered platform

Our latest tool, Kiip, is designed specifically for community organizations and nonprofits. For people using CRMs or HMISes to take care of their clients, Kiip is a client management platform that’s transforming CBO case management:

Secure document sharing and storage

Integrated referral networks

Client-owned tools for managing their own information 

Designed to simplify your workflow, not complicate it

Completely free for CBOs listed on Findhelp



Why we’re doing it

We believe technology should serve people, not the other way around. Too many referrals fall through the cracks, too many applications get abandoned, and too many people lose access to the services they need. We’re committed to improving outcomes for everyone, from individual clients to CBOs and providers.  


Where you come in

If you want to streamline your case management, reduce administrative burden, and empower your clients, you’re in the right place. We’re rolling out access to Kiip across the entire Findhelp ecosystem, and we’d love to have you join us. 


Kiip isn’t just a tool; it’s a community. You’re invited—join the waitlist, no commitment required.

Join the Kiip waitlist


Kiip demo: Watch our Connect Summit session with partner HOPICS

Partnering with HOPICS, one of the largest housing service providers in South Los Angeles, we demonstrate how modern tools empower both case managers and clients to create more effective pathways to service access and retention. We showcase how emerging technologies, including AI and Large Language Models (LLMs), democratize case management capabilities, enabling CBOs of all sizes to operate more efficiently and proactively. 

See Kiip in action—watch the recording of our session at the Connect Summit social care conference, “Transforming CBO Case Management: Next General Tools for Enhanced Client Outcomes”.


If you have a moment, share your thoughts

I’m interested in hearing what you think. What challenges are you facing? What solutions would make your work easier? Add me on LinkedIn or email me — I’m listening. Thank you for the critical work you do every single day.


Watch | Kīpuka: A Story of Community Resilience in Hawaiʻi

To the rest of the world, Hawai‘i is paradise: a place of rainbows, lush mountains, and shimmering beaches. But beyond the postcard images, a different story is unfolding — one of families struggling to stay connected to land that grows more expensive, inaccessible, and fragile with each passing year. Today, we’re proud to announce the release of Kīpuka, the latest short documentary from Findhelp Films.

Set in Koʻolaupoko, Oʻahu, the 25-minute film follows the work of KEY Project, a grassroots community center that has served its neighbors since 1968. From youth mentorship and food support to senior citizen programming and cultural education, KEY Project doesn’t just provide services—it cultivates a deep sense of belonging.


“If you’re going to take up space within these islands, you need to honor the traditions that were here long before you were.”

Kimberly Jones

Youth Program Coordinator at KEY Project


The high price of paradise

For many local families, especially Native Hawaiians, the cost of living has become a major challenge. What was once a sustainable island economy now relies on imported goods, with nearly 90% of food shipped in from elsewhere, according to the University of Hawaii. As John Reppun, a community elder, notes in the film, “When Hawai‘i became a state in 1959, the doors kind of got blown off. A lot of development muscled its way into communities like ours.”

Today, the impact of that development is undeniable. Local grocery store prices rival those of Manhattan. Tourism continues to expand. Once-sustainable communities are reshaped into playgrounds for visitors, even as long-time residents are priced out of their own neighborhoods.

"Kīpuka" from Findhelp Films tells the story of community resilience in Hawai'i.


The cost of living index for Hawai‘i far exceeds any other state, according to the World Population Review. The index is almost 30% higher than that of Massachusetts and California, the second and third most expensive states to live in.

At the center of Kīpuka is KEY Project’s effort to resist that erasure — not through confrontation, but through restoration. Youth are taught to kilo (observe) the land, to clear invasive species, to rebuild ancient fishponds, and to see stewardship as a living practice. The work is tangible and hard, rooted in hope, focused on community resilience.


“Restoration is a big thing in Hawai‘i. We have to regain our culture, and we have to regain our ʻāina.”

Ryli Kalahiki

Youth Program Assistant at KEY Project


What is a “kīpuka”?

In Hawaiian, a kīpuka is a patch of land left untouched by lava—a refuge where life can take hold again. It’s also the metaphor that guides the film.


“Kīpuka are protected spaces where native species thrive. That’s how I imagine KEY Project: a place where people can be safe, feel protected, and thrive.”

Rainbow Uliʻi

Executive Director at KEY Project

In one of the film’s most poignant moments, a mother describes how her daughter, once disconnected and struggling, began to change after joining KEY Project’s programs. “Every day she came home and talked about what they did — the friends she made, the knowledge she gained, the connection she felt.”

"Kīpuka" from Findhelp Films tells the story of community resilience in Hawai'i.


Beyond Findhelp: Amplifying community voices

At Findhelp, our mission is to connect all people in need with programs that serve them, with dignity and ease. But behind every search on our platform is a human story: a person reaching out for support, and a local organization ready to answer.

Our storytelling initiative was created to spotlight the people and communities doing this work every day. We believe a stronger social safety net isn’t built by software alone. It’s built through human relationships, cultural memory, and care that transcends transactions.

Kīpuka is the latest in a growing body of films that includes Filling the Gaps (on dental care access) and Living Positive (on a community united around HIV support). Each film is a tribute to those who consistently show up for others, often without recognition.


Experience Kīpuka: Watch, share, and be inspired

Kīpuka is now available to stream at kipukafilm.com!

We hope you’ll take some time to watch, share, and consider what it means to protect your own kīpuka, wherever you live. Let this film be a reminder that belonging is worth fighting for, that connection is built through care, and that even in the face of great pressure, communities can thrive.


Watch the film


Achieving Social Care ROI: How Findhelp Powers Your Investment

The evidence is undeniable: strategic investment in social care is among the most effective ways to reduce healthcare costs, improve patient outcomes, and truly deliver on the promise of value-based care.

But how do you move from acknowledging the importance of social determinants of health (SDoH) to effectively operationalizing and scaling these efforts? And crucially, how do you ensure your programs can demonstrate a clear return on that investment?

We’re thrilled to launch our new issue brief, The ROI of Social Care Closed-Loop Referral Technology. This paper dives into the compelling evidence that showcases not just the need for social care interventions, but their tangible financial and clinical impact when effectively implemented.

Read on to learn what the data says, and how you can take advantage of existing technology.


The data: Why social care matters 

The data speaks for itself. Our issue brief highlights key findings, including:

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Significant cost savings

Studies show that successfully connecting individuals to social services through well-run programs can lead to substantial reductions in healthcare costs. For instance, one study saw a 10% reduction in healthcare costs, equating to $2,443 per person per year, for Medicaid and Medicare Advantage members connected to services.

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Demonstrable health improvements

Addressing social needs positively impacts health outcomes, leading to better management of chronic conditions and improved treatment adherence.

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Targeted interventions, impressive returns


The Findhelp difference: Power your social care ROI with closed-loop referrals

Understanding the potential ROI of social care programs is one thing; enabling those programs to fully achieve it is another.

While the direct health and financial benefits stem from effective social care interventions and the dedicated people running them, the right technology infrastructure is paramount to realizing that full potential.

Our issue brief explores how closed-loop referral technology, like Findhelp, is an essential backbone. Our platform powers your social care initiatives with unmatched efficiency and ease, ensuring your programs can deliver their maximum impact and demonstrable returns.

Findhelp customers, for example, consistently see referral completion rates up to three times industry norms, laying a strong foundation for their programs’ impact.

Findhelp is critical for:


Investing in Findhelp is investing in your SDoH ROI strategy

Choosing the right technology partner means selecting a system that will effectively power your social care programs, allowing them to operate with maximum efficiency and deliver their intended ROI. It’s not about the tool claiming the dollars, but about the tool enabling your skilled teams and vital programs to achieve those results. We’re proud that the Findhelp platform embodies these principles:


Don’t get left behind: The cost of inaction is too high

Failing to invest in robust social care infrastructure isn’t just a missed opportunity; it incurs significant costs through increased avoidable healthcare use and a heavier chronic disease burden. Closed-loop referral technology is no longer a “nice-to-have” – it’s foundational for enabling your social care programs to reduce total cost of care, deliver value, and meet emerging regulatory expectations.


Ready to realize the full potential of your social care investments with a trusted partner?

Dive into the evidence and learn how to build a powerful business case for social care within your organization: read our new issue brief, The ROI of Social Care Closed-Loop Referral Technology, today! 

Learn about ROI


By working together and leveraging smart technology to power essential social care programs, we can create healthier communities and a more sustainable healthcare system for all.

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