Research, strategy, and hard-won lessons for the people reshaping health & human services.

Paying for the Last Link: A Six-Part Series on Housing Finance in Washington, Part 6 of 6 This series has argued that Washington can find people who need housing but…

Paying for the Last Link: A Six-Part Series on Housing Finance in Washington, Part 5 of 6 The previous article looked at two ways Washington could make its money for…

Paying for the Last Link: A Six-Part Series on Housing Finance in Washington, Part 4 of 6 In this series, I have argued that Washington can identify people who need…

Paying for the Last Link: A Six-Part Series on Housing Finance in Washington, Part 3 of 6 In this series, I have argued that Washington can identify people who need…

Paying for the Last Link: A Six-Part Series on Housing Finance in Washington, Part 2 of 6 In the first article in this series, I described a homelessness system in…

Paying for the Last Link: A Six-Part Series on Housing Finance in Washington, Part 1 of 6 In July, I wrote about the social care infrastructure we have built over…

Why a culture of philanthropy has to come before the hire Here’s what we hear from nonprofit leaders all the time: “We just need a better development director.” Or: “If…

We spent a decade building real health–social care integration—then, in 2025, learned how fast it can be switched off. The case for building the “missing layer” as durable, community-owned public…

CMS has published its interim final rule. Most analyses explain what it says. This one focuses on what you need to do about it.