For Healthcare Practitioners

Partner With Us to Reach Underserved Patients

Health Equity Hubs extend your care team into the community. We help your patients overcome barriers to care, navigate complex systems, and achieve better health outcomes.

How We Support Your Practice

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Extend Your Reach

Connect with patients who face barriers accessing your practice—transportation, mobility, technology, or awareness.

Improve Follow-Through

Our community health workers help patients understand care plans, attend appointments, and adhere to treatment.

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Address Social Needs

We screen for and address social determinants—food insecurity, housing, transportation—that affect health outcomes.

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Reduce No-Shows

Proactive outreach and appointment reminders help ensure patients show up prepared and on time.

How the Referral Process Works

1

Refer a Patient

Send us patients who need extra support navigating care, accessing resources, or managing chronic conditions.

2

We Coordinate

Our community health workers connect with the patient, assess needs, and create a support plan.

3

Ongoing Communication

We keep you informed of patient progress and any barriers that may affect their care.

4

Better Outcomes

Patients receive whole-person support, leading to improved adherence and health outcomes.

Who Can Partner With Us

Primary care physicians
Federally Qualified Health Centers (FQHCs)
Rural health clinics
Hospital discharge planners
Specialists and specialty clinics
Behavioral health providers
Home health agencies
Pharmacies

Ready to Partner?

Join our network of healthcare providers working together to improve health outcomes in Schoharie and Delaware Counties.