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Description Seventy one percent of homes in Brownsville, NY have hazards to health and safety and Brownsville has the lowest life expectancy in New York City (76 years). Community Action for Health Homes (CAHH), an initiative of United for Brownsville, partnered with United Health and local health care providers to prescribe home improvements for better health. For an average of $2,600 per home--the approximate cost of one emergency department (ED) visit-- CAHH improved the lives of residents allowing storage and preparation of food, usable bathrooms, fire and structural safety, and proper ventilation. After this investment, residents on average experienced a 26% reduction in physician costs, a 9% reduction in ED visit costs, a 13% reduction in physician visits, and a 13% reduction in prescription costs. Through this partnership between a healthcare payer, healthcare providers, and a local trusted community-based organization, CAHH decreased healthcare costs and service utilization, gained the trust of local residents enabling further exploration of additional benefit optimization, and enabled residents to feel safe and healthy in their homes. This session will explore how this partnership developed, the results achieved (p<0.05) and thoughts for how to expand and adopt this approach.