Study finds that private equity ownership of skilled nursing facilities leads to a significantly higher average mortality rate for residents.

Describes core competencies that convey the essential knowledge, skills, and attitudes of complex care practitioners and teams to improve care for people with complex needs.

Describes factors that support health care organizations in transitioning from volume- to value-based payment.

Demonstrates that intensive outpatient care programs show promise in reducing utilization and costs and improving patient outcomes for high-need, high-cost populations.

Presents tools and tips frontline care management staff to address high-risk patients’ unmet social health needs during the COVID-19 pandemic.

Applying principles of trauma-informed care for patients at end of life.

Summarizes different approaches and criteria that can be used to identify patients with complex needs for health system interventions.

Housing First programs reduce homelessness and health care use more effectively than Treatment First approaches.

Details funding opportunities and successful approaches in the adoption of evidence-based health promotion and disease prevention programs within community-based organizations.

Identifies opportunities to strengthen integrated programs to improve care and support positive health outcomes for dually eligible individuals both during and beyond the pandemic.

Offers a practical framework for safety-net health systems to better identify and segment patients with complex needs, and tailor care models to meet their needs.

A complex care transitions pilot designed through a stakeholder-driven process led to decreased hospital utilization and costs.

This case study highlights an accountable care organization’s home-based primary care program for homebound older adults, with early analysis of outcomes showing reduced acute care utilization.

For people with disabilities, familiarity with their care teams and care plans, and increased access to long-term services and supports can improve their perceptions of quality of life and health care.

Medicare patients with the top five percent in preventable utilization account for almost half of all avoidable Medicare costs.

Explored opportunities for health systems and plans to work with CHW/Ps to support high-need individuals, with a focus on addressing the long-term impacts of the COVID-19 pandemic.

Using community health workers can reduce hospitalizations in high-risk patients.

Training for caregivers of veterans living with dementia may help them remain in their home longer, but may lead to increased health care costs.

Step-by-step guide with robust tools for health systems to apply the 4Ms framework to deliver age-friendly, evidence-based care for older adults.

A comprehensive overview of different funding approaches to sustainably finance CHW programs.