Describes how provider organizations in Rhode Island employ multidisciplinary teams, including community health workers and behavioral health clinicians, to collaborate with primary care practices in providing whole-person care.

The Playbook spoke to two individuals who helped develop the Patient-Centered Complex Care Research Agenda to learn more about how involving people with lived experience in research can help strengthen the complex care evidence base.

Reviews findings from a Playbook Collection on innovative addiction care models, including emerging evidence for these approaches and considerations for implementation.

Features commentary from Ben Miller, PsyD, past president at Well Being Trust, on the value of peer supports in mental health or addiction recovery.

Learn about program design considerations for an intensive care management program with promising evidence in this conversation with program leaders at Mass General Brigham and Commonwealth Care Alliance.

Features a conversation with Danetta Sloan, PhD, MSW, MA, assistant scientist at Johns Hopkins Bloomberg School of Public Health, to learn about the MIND at Home program and how dementia care coordination programs can better support Black caregivers and their families.

This Tradeoffs podcast episode explores ways to make palliative care more equitable and shares a caregiver's journey navigating a serious illness.

Features a conversation with Emilia De Marchis, MD, MAS, assistant professor at UCSF’s Department of Family and Community Medicine, who explores the findings from a report on the state of social needs screening in health care settings.

This blog post examines what factors are associated with successful partnerships between AAAs and health care entities.

Features a conversation about Illumination Foundation's approach to data analytics and how it can inform other organizations seeking to improve care for people experiencing homelessness.

Profiles Support and Services at Home, a model that is empowering older adults and people with disabilities to remain at home via in-home supports and services.

Our summer reading list can catch you up on the latest innovations in improving care for people with complex needs.

Profiles Yakima Neighborhood Health Services, a health center in Washington State, that launched a medical respite care program in 2010 after a focus group of patients experiencing homelessness expressed the need for a place to stay when they were sick.

Features a conversation with representatives of the Duke-Margolis Center for Health Policy about Medicare and Medicaid policy options for expanding access to home-based care for people with complex health needs.

Outlines perspectives from state Medicaid officials on the federal policies that have advanced Medicare-Medicaid integration, and areas where they believe additional federal policy actions are needed.

New research sheds light on the strategies Area Agencies on Aging (AAAs) use to create and maintain partnerships with health care entities.

This Tradeoffs podcast episode dives deep into how medical respite works, the problem it’s trying to solve, the evidence behind it, what’s fueling its recent growth, and what barriers remain in its way.

Explores what too often goes wrong for Black patients during the course of a serious illness, and how Medicare incentives and requirements could help address these alarming issues.

Profiles the ONE Health program at Regional One Health in Memphis, Tennessee, which focuses on uninsured individuals and has achieved reductions in emergency department use and inpatient care, resulting in savings to reinvest in care improvements.

A conversation with Dennis Heaphy, MPH, Med, MDiv, policy analyst and health justice advocate at the Massachusetts Disability Policy Consortium, about findings from a study that he co-authored on the impact of engaging members with disabilities in care planning and care coordination.