This tip sheet provides guidelines for how health plans and provider organizations can use more person-centered language.

Highlighted lessons from two recent studies to help guide future program and measurement approaches for complex care management interventions.

Accountable care organizations must address key funding, community partnership, and data sharing requirements to successfully integrate social services into medical care.

The Independence at Home demonstration showed mixed results for Medicare savings and utilization, but participating patients and caregivers reported high satisfaction with the home-based primary care that they received.

Creating a palliative care program to meet the needs of low-income communities requires solutions that are patient centered and supportive of the clinical care team.

Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

Adults with complex, high-cost health care needs are more likely to have experienced social adversity in childhood and adulthood.

Strategies for reducing the impact of social isolation and loneliness on older adults.

Among high-cost Medicare enrollees, those who are seriously ill, frail, and/or had a serious mental illness experience the most potentially preventable spending.

High-need, high-cost older adult patients detail their health care goals, which may inform provider efforts to effectively engage with and care for these patients and their family caregivers.

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

This robust online database provides detailed information on evidence-based dementia caregiving programs to better support family caregivers.

Individuals experiencing homelessness had health care spending 2.5 times higher than the comparison Medicaid population.

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

Virginia’s comprehensive Medicaid reform for substance use treatment services led to an increase in outpatient and community-based treatment and a decrease in emergency department and inpatient use among beneficiaries with opioid use disorder.