Web-based tool offers guidance and examples for cross-sector case planning for adults with behavioral health needs leaving jails and prisons.

A machine learning model helped identify primary care patients with major depression who are at high risk of frequent emergency department use and might benefit from collaborative care management.

Facilitated telemedicine for hepatitis C among opioid use disorder patients in opioid treatment programs resulted in substantially higher cure rates than standard-of-care off-site referrals.

This webinar described how the Camden Coalition has refined and expanded programs in recent years to more effectively care for adults with complex health and social needs and integrate lessons from this evidence.

Nurse practitioners’ ability to provide care independently in rural primary care clinics is associated with reduced emergency department use among older adults with substance use disorder.

Patient and staff interviews highlight the promise of hospital-based harm reduction programs.

Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.

Nurse assessments of discharge readiness for older patients with multiple chronic conditions can help identify patients at high risk for hospital readmission.

Report and companion case studies share strategies to support community health centers and federal and state policymakers in increasing the use of medications for opioid use disorder.

The reanalysis of a randomized control trial evaluating the effectiveness of a care management program finds increased linkages to ambulatory care.

Evidence-based federal policy recommendations seek to strengthen the integrated care workforce.

A primary care-based integrated care team supports patients with type 1 or type 2 diabetes in reducing A1c levels.

Multidisciplinary integrated practice units may have a greater impact on acute care utilization by focusing on patients who have high utilization of emergency departments and are uninsured.

Addressing care coordination and medication-related needs within a mobile integrated health care-community paramedicine program leads to a reduction in hospital readmissions.

Case study details how a health system used human-centered design approaches to address disparities in access to telehealth services, including through collaboration with patients.

Report summarizes the evidence on outcomes for patients participating in various telehealth delivered services, including different modalities, such as telephone and video.

A care management model designed to center patients’ health priorities shows promising results.

California community paramedicine and triage to alternative destination programs lead to more coordinated care and reductions in emergency department visits and hospital readmissions.

Toolkit offers health care stakeholders interested in working with community members guidance on equitable compensation strategies.

This resource center offers guidance to help Medicaid stakeholders engage community members in policy and program design development, especially as a means of increasing health equity.