A collaborative interprofessional dementia care program significantly improved the timeliness of diagnosis compared to traditional clinics and achieved high satisfaction rates among staff, patients, and caregivers.

Medicaid enrollees in a community health worker program had fewer emergency department visits and more outpatient ambulatory care use than beneficiaries who received usual care.

Shared practical implementation considerations that can support health plans and provider groups in developing community-based models of care that use the strengths of social workers and community health workers.

With the steep increase in use of telehealth and video visits in the last few years, the reliance on technology-enabled medicine may heighten disparities in health care access.

Resources to help organizations develop and improve medical respite programs for people experiencing homelessness.

State investments in enhanced primary care for older and chronically ill individuals recently released from incarceration yielded a $2.55 return on investment for Medicaid and criminal justice combined.

This study identifies facilitators and barriers of hospital- and community-based harm reduction collaboration efforts and highlights hospital-based opportunities to better serve people who use drugs.

This self-assessment tool can help harm reduction program leadership assess internal and external financing strategies to support and strengthen their programs.

Care management interventions for people transitioning from behavioral health inpatient care may be successful in decreasing readmissions if they address health-related social needs.

Community-based care management programs for patients with complex health and social needs have the potential to reduce hospitalizations and inpatient costs.

Virtual collaborative care intervention demonstrates an approach to improve medication adherence and health outcomes.

Patients with complex needs were more satisfied with in-home urgent care delivered by community paramedics than with emergency department urgent care.

Primary care medical home improved use of preventive services, chronic illness care, care experience, psychotic symptoms, and mental health-related quality of life for people with serious mental illness.

Peer recovery coaching intervention for hospitalized people with substance use disorder led to mixed acute care utilization outcomes.

Describes a primary care organization’s approach to using machine learning versus provider judgement to assign primary care visit frequency and better identify future risk of hospitalization and medical cost.

Reveals inequities in how aging adults’ care preferences are taken into account based on race/ethnicity, income, health insurance status, and other variables.

Case studies and evidence on how PACE organizations adapted to challenges during the COVID-19 pandemic.

Evidence map of patient and family engagement strategies highlights range of evidence on self-management support and shared decision-making.

The economic benefits of permanent supportive housing programs with a Housing First approach exceed the costs in the U.S., with a benefit-to-cost ratio of 1.8:1.

A hospital successfully integrated a harm reduction services intervention for patients whose substance use goals did not include abstinence.