Randomized controlled trial of a person-centered housing intervention for older adults shows improved health outcomes for formerly homeless adults living in permanent supportive housing.
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.
Home-based primary care did not decrease hospitalizations for people with dementia, but it did result in more patient- and family-centered end-of-life care.
An interdisciplinary team approach can improve care coordination and reduce length of hospital stays for older adults with complex health and social needs.
Home-based program provided by a community health and social worker reduces acute care use and improves care for older adults with complex health and social needs.
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.
Complex care management program within Next Generation Accountable Care Organizations reduced cost and utilization for high-risk Medicare beneficiaries.
Details how two health plans in California developed programs to transition dually eligible members from institutional settings back into their communities.