Use of hospital readmission rates to measure quality may be unfair for some accountable care organizations and safety-net providers, since members with complex medical and social needs are a main driver of these rates.
Evidence-based intervention at a behavioral health home improved health outcomes for patients with co-occurring type 2 diabetes and serious mental illness.
Personalized patient navigation supports for people with comorbid substance use disorders reduced rates of hospital readmissions and emergency department use.
Over 14 years, individuals experiencing chronic homelessness enrolled in a permanent supportive housing program had low housing retention and high mortality.
A permanent supportive housing program reduced emergency department visits within the first six months of placement but showed neutral effects on total cost of care and primary care utilization for Medicaid enrollees.
Primary care and alternative payment models that reduce emergency department use and increase access to care for high-need populations share core components for success.
Peer recovery services offered to people with substance use disorder returning to community from incarceration is shown to reduce substance use and improve health and treatment motivation.
Use of machine learning clustering algorithms revealed 30 distinct subgroups of patients among high-risk veterans, indicating a need for tailored approaches to health care.
Medication management interventions that support caregivers of people with dementia at care transitions can help reduce readmissions, caregiver burden, and use of high-risk medication.
Discusses the benefits and challenges of tele-social care and offers practical tips for providers administering telehealth services for social care activities.