Care coordination software for CBOsClose every loop. Keep every promise a positive screen makes.
Care coordinators connect people to food, housing, transportation and benefits across many partners. CH360 gives your network shared intake, closed-loop referrals and HRSN billing in one workflow — so a referral sent becomes a need resolved.
1.1 million+
Medicare and Medicaid beneficiaries screened in the Accountable Health Communities model
Source: CMS, Accountable Health Communities Final Evaluation Findings at a Glance, 2026[1]
Why this work matters
The case for care coordination, in numbers.
Care coordination helps people move from identifying a social need to navigating the practical steps required to get support. CMS's Accountable Health Communities model showed what community-resource navigation can achieve at scale for Medicare and Medicaid beneficiaries.
1.1 million+
Medicare and Medicaid beneficiaries screened in the Accountable Health Communities model
CMS, Accountable Health Communities Final Evaluation Findings at a Glance, 2026[1]
- 37%
Screened beneficiaries positive for at least one core social need
CMS, Accountable Health Communities Final Evaluation Executive Summary, 2026[2]
$200M+
Net savings generated by the Accountable Health Communities model
CMS, Accountable Health Communities Final Evaluation Findings at a Glance, 2026[1]
What care coordination organizations do
The services your team delivers every day.
Social needs assessment
Identify participant priorities and barriers involving food, housing, transportation, utilities and other social needs.
Person-centered service planning
Develop a practical service plan that reflects participant goals and identifies next steps across community supports.
Community resource navigation
Help people find appropriate services, understand requirements and work through access barriers.
Referral coordination and follow-up
Coordinate referrals across organizations and check whether participants connected with the intended support.
Benefits and coverage navigation
Assist participants with understanding and pursuing eligible public benefits and health coverage resources.
Community health worker engagement
Provide relationship-based outreach, education and ongoing support through community health workers or similar frontline staff.
Market research
The top 5 business issues care coordination organizations face.
Drawn from government agencies, national surveys and policy research. Every figure links to its source.
Identifying needs creates follow-through work
A positive social needs screen creates work to assess priorities, locate resources and follow up on access. Every positive screen is a promise your team has to keep.
37%
AHC beneficiaries screening positive for at least one core social need
CMS, Accountable Health Communities Final Evaluation Executive Summary, 2026 (opens in a new tab)Staff vacancies interrupt relationship-based care
Care coordination depends on consistent relationships and reliable handoffs when staff change. Vacancies break the continuity participants rely on.
74.6%
Nonprofits reporting current job vacancies (sector-wide survey)
National Council of Nonprofits, Nonprofit Workforce Survey, 2023 (opens in a new tab)Capacity constraints delay access
Coordinators must manage active participants while responding to new referrals and following up with partner organizations. Longer waiting lists across the sector shrink the referral destinations available.
28%
Nonprofits reporting longer waiting lists than before the pandemic
National Council of Nonprofits, Nonprofit Workforce Survey, 2023 (opens in a new tab)Uncertain funding makes continuity harder
Organizations must sustain outreach and participant engagement while planning around uncertain charitable revenue. Diversifying into reimbursable services reduces that exposure.
70.5%
Nonprofits expecting charitable giving to fall or stay flat (sector-wide survey)
National Council of Nonprofits, Nonprofit Workforce Survey, 2023 (opens in a new tab)Payer-funded partnerships add administrative complexity
Working with health plans requires organizations to align services and documentation with specific contractual and program expectations. In California alone, the Community Supports contracting ecosystem runs into the thousands.
2,336
Community Supports provider contracts statewide in California, Q2 2024
California Department of Health Care Services, CalAIM Community Supports, 2024 (opens in a new tab)
Technology challenges
Where technology fails care coordination teams — and how CH360 fixes it.
Challenge 1
Cross-organization handoffs lack visibility
Care coordination spans organizations that may not share the same intake or referral workflow. Without a common tracking process, coordinators can struggle to distinguish a referral sent from a connection completed.
How CH360 helps
CH360 Care Hubs give partner CBOs shared intake, referrals and closed-loop referral tracking. Coordinators can keep the next step visible across participating organizations.
Challenge 2
Service plans and engagement histories are fragmented
Participant goals, outreach attempts and partner updates may live in different records. That fragmentation can make continuity and team handoffs more difficult.
How CH360 helps
CH360 brings service plans and engagement notes into case management, with REALD/SOGI-style demographic data capture. Its HIPAA-compliant platform and role-based access support controlled access to participant information.
Challenge 3
Social care documentation is not automatically billing-ready
A narrative note alone does not establish a covered, authorized or payable HRSN service. Organizations need a billing workflow that aligns service documentation with applicable codes, modifiers and payer requirements.
How CH360 helps
CH360 supports HRSN invoicing with HCPCS codes and modifiers and claim submission through the Office Ally clearinghouse network. The free Medicaid AI tool supports research, while your team verifies current coverage and payer rules.
Challenge 4
Workforce readiness is difficult to monitor
Credential and continuing education information can be tracked separately from staffing and service-demand information. Leaders need visibility into workforce readiness and capacity when assigning work or planning expansion.
How CH360 helps
CH360 provides workforce and CHW credential and CEU tracking alongside Executive Intelligence dashboards for demand, workforce and capacity, so leaders plan from one view.
Challenge 5
Operational work and funder narratives are disconnected
Care coordination teams must translate ongoing engagement into reports that meet different funding agreements. Separate grant calendars, budgets and narrative files can make reporting and renewals harder to manage.
How CH360 helps
CH360 combines grant management for awards, budget versus actuals, deliverables and renewals with AI-assisted funder reports and grant narratives. Teams prepare drafts for human review while keeping funding commitments in view.
One platform
Get funded. Get paid. Keep serving.
- Care HubsShared intake and closed-loop referrals across partner CBOs.Learn more
- BillingHRSN invoices and claims through Office Ally's 2,000+ payers.Learn more
- Executive IntelligenceDemand, workforce and capacity in one leadership view.Learn more
- Free funding toolsAI Grant Agent, Funding AI and Medicaid AI — free.Learn more
Sources
Figures come from the third-party research cited below and describe the sector, not CH360 customer results. Some figures are national nonprofit or adjacent-sector benchmarks. Payers decide coverage and payment; your team reviews every claim before it is submitted.
- [1] CMS, Accountable Health Communities Final Evaluation Findings at a Glance (2026)
- [2] CMS, Accountable Health Communities Final Evaluation Executive Summary (2026)
- [3] National Council of Nonprofits, Nonprofit Workforce Survey (2023)
- [4] California Department of Health Care Services, CalAIM Community Supports (2024)
See CH360 built for care coordination.
A walkthrough shaped around your programs, payers and state.