Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.

A community health worker program yielded an annual return of $2.47 for every dollar invested by a Medicaid payer.

Tips on integrating community health workers into quality improvement teams to address patients’ social needs.

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

Describes how health care providers and their correctional agency partners can design medications for addiction treatment programs for people with opioid use disorder in jails and prisons.

The value of community health workers in advancing health equity.

A community-based palliative care program reduced medical costs, intensive care unit (ICU) admissions, hospital admissions, and days spent in the hospital for Medicare Advantage members with serious illness.

An interdisciplinary, hospital-based addiction medicine consultation team improved substance use disorder treatment engagement after hospitalization.

The benefits of a transitional care program.

Staff time effort in complex care coordination programs is highly variable depending on patients’ health and social needs.

How staff composition affects care delivery for older adults.

Nurse practitioners and physician assistants are associated with lower costs.

This study sought to develop recommendations for how to better integrate family caregivers into the health care team.

This case study analyzes a successful example of a medical group partnering with a home health agency to provide community-based palliative care for high-risk members of their accountable care organization.

Details the main elements of a hospital-based addiction care consultation team.

Care model that integrates home-based primary care and palliative care for patients with serious illness reports reduced health care utilization and improved patient care experience.

Fostering a culture of caring for veterans takes interdisciplinary teams focused on comprehensive, trusting and reliable relationships through open and frequent communication and ongoing education.

A hospitalist model for complex care.

The case conference approach to caring for complex patients.