Segmenting the high-cost population is the first step in matching appropriate care management strategies.

This report presents the findings from the evaluation of Medicaid health homes, created as part of the Affordable Care Act.

A framework describes how to train the health care workforce to care for people with multiple chronic conditions.

Emergency department-initiated buprenorphine for opioid-dependent patients demonstrated significantly higher rates of addiction treatment engagement than interventions without buprenorphine.

Incorporating community engagement into public health interventions leads to improved health outcomes and a greater sense of self-efficacy among intervention recipients.

Promising approaches to reduce loneliness for older adults in community and institutional settings.

The Department of Veterans Affairs home-based primary care program reduced total costs of care for VA and Medicare and earned high satisfaction ratings from patients and their caregivers.

A comparison of 18 complex care management programs reveals best practices.

In nursing homes, replacing on-call physician services during off-hours with direct contact via telemedicine may reduce Medicare spending through fewer avoidable hospitalizations.

The approach identifies patients through chart review and data analytics coupled with the intelligence of community health workers.

The benefits of, incentives for, and various models to deliver palliative care are described.

Setting up data collection systems is important to showing value.

This guide describes how to design, implement, and assess a program to reduce preventable ED use.

This resource presents promising ideas for more effective modes of care for persons with complex needs.

Systematic review finds that medical respite programs reduce acute care utilization outcomes for people experiencing homelessness.

Indicates that a community-based nurse care management model reduced all-cause mortality for older adults with chronic conditions.

A study showed that some programs reduced hospitalizations by 8 to 33 percent.

Lessons learned from eight health care organizations can help you design a successful program.