Impact Health leads a network of more than 50 human service organizations, pre-paid health plans, and care managers participating in North Carolina’s Healthy Opportunities Pilot (HOP) program in Western North Carolina, one of the state’s three pilot regions. HOP is the nation’s first comprehensive program to test and evaluate the impact of providing select evidence-based, non-medical interventions related to housing, food, transportation and interpersonal safety and toxic stress to high-needs Medicaid enrollees.