Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.
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.
Home-based intensive care model for Medicaid and dually eligible enrollees with complex needs led to positive health outcomes and reduced acute care spending, particularly for individuals with a behavioral health diagnosis.
Details how two health plans in California developed programs to transition dually eligible members from institutional settings back into their communities.