Case study of interdisciplinary primary care program for high-risk patients based at an academic health system offers lessons on program design and implementation.

A Medicaid health home care management program led to improved diabetes care, benefitting people with co-occurring substance use disorders and diabetes.

Strategies, challenges, and opportunities in supporting the implementation and sustainability of community paramedicine programs in rural communities.

Downloadable tools, tip sheets, sample forms, and how-to guides on home-based primary care, with a focus on clinical and operational best practices.

Toolkit can help guide implementation of integrated care teams into primary care settings.

Clearly defining characteristics of complex populations is essential for effective complex care intervention design.

Contains practical guides, tools, and other resources for developing complex care programs.

A Comprehensive Medication Management program that employs a remote clinical pharmacist effectively addresses most drug therapy problems in a complex care population.

During the COVID-19 pandemic, Cityblock Health implemented a virtually integrated care management model to maintain continuity of care for patients with complex needs.

Randomized controlled trial of a care management intervention shows significant improvement in patient activation and self-rated health and decreased symptoms of depression in patients with complex needs.

Profile of a geriatric emergency department model for older adults with complex needs includes sample policies and workflows as well as recommendations to support effective implementation.

Includes patient- and staff-reported measures to help complex care programs better understand the impacts of interventions.

A longitudinal study found that members of recovery community centers had increased rates of substance use abstinence, psychological well-being, and quality of life after three months of engagement.

A comprehensive review of state mechanisms to reimburse for community health worker services.

A pharmacist-led substance use disorder intervention improved treatment retention for patients with opioid and alcohol use disorder.

Evidence-based intervention at a behavioral health home improved health outcomes for patients with co-occurring type 2 diabetes and serious mental illness.

Personalized patient navigation supports for people with comorbid substance use disorders reduced rates of hospital readmissions and emergency department use.