The value of community health workers in advancing health equity.

Highlights early findings demonstrating that Medicare-Medicaid integration can improve beneficiary experience and health outcomes, increase program efficiencies, and improve Medicaid program management.

A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.

Ten common attributes for successful care management programs serving high-need, high-cost populations.

When identifying patients with complex health needs for interventions, algorithms that rely on cost data as a proxy for health status may lead to under-identification of Black patients.

Recommendations for integrating social and health care to improve the nation’s health.

Challenges and opportunities for older adults with multiple chronic conditions.

Community approaches to reducing care utilization and costs.

How to implement the new Medicare benefits.

Program based in affordable housing sites for older adults and people with disabilities has favorable impact on Medicare and Medicaid expenditures and helps residents remain in community settings.

A model to improve health and quality of life for rural seniors.

This toolkit details the benefits of home-based primary care to help providers demonstrate the need for these programs.

How home visits are used by ACOs to improve care, lower costs.

How staff composition affects care delivery for older adults.

Family caregivers are an integral part of health care and the economy, and they need states’ support.

Supplementing primary care with team-based management.

Long-term services and supports may reduce medical utilization.

Home-based primary care integrated with long-term services and supports in the community can delay long-term institutionalization in frail older adults without increased costs for home- and community-based services.

Improving Dementia Care

Shares best practices and screening tool options to identify and care for home-based primary care patients with potential fall risks.