An interdisciplinary, hospital-based addiction medicine consultation team improved substance use disorder treatment engagement after hospitalization.

The benefits of a transitional care program.

This case study analyzes a successful example of a medical group partnering with a home health agency to provide community-based palliative care for high-risk members of their accountable care organization.

Care model that integrates home-based primary care and palliative care for patients with serious illness reports reduced health care utilization and improved patient care experience.

New Mexico’s model to deploy community health workers is now replicated in 12 states.

Home visits can reach patients with complex needs before a higher level of care is needed

A home-based palliative care program using an interdisciplinary care team reduces hospital costs and unnecessary health care utilization for Medicare Advantage beneficiaries.

Interdisciplinary teams provide support for Medicaid beneficiaries with mental illnesses, addictions, and other needs.

A home-based primary care program decreases costs and utilization for high-risk Medicare enrollees in Washington D.C.

A novel approach to home visiting delivers cost reduction and better care

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