Step-by-step guide with robust tools for health systems to apply the 4Ms framework to deliver age-friendly, evidence-based care for older adults.

Highlighted innovations adopted by PACE organizations during the pandemic to provide care for older adults with complex needs.

Integrated health care systems can better support high-risk patients by embedding high-risk patient care within general primary care and mental health care.

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

A randomized clinical trial of an 18-month comprehensive intervention showed significant reductions in cardiovascular disease risk in adults with serious mental illness.

Care coordination program reduces utilization for some high-cost, high-need Medicaid beneficiaries with diabetes.

Enhanced primary care for Medicaid enrollees with serious mental illness can help decrease emergency department use over time.

Effective complex care measures vary widely and need to be standardized to better align the field of complex care.

This report offers recommendations for providing medications for opioid use disorder in prisons and jails and offers correctional-based case examples from across the country.

Social workers on rural primary care teams may help decrease high-risk veterans’ acute care use.

California’s Whole Person Care pilot can inform cross-sector initiatives to improve care for Medicaid enrollees with complex health and social needs.

This tip sheet provides guidelines for how health plans and provider organizations can use more person-centered language.

Highlighted lessons from two recent studies to help guide future program and measurement approaches for complex care management interventions.

The Independence at Home demonstration showed mixed results for Medicare savings and utilization, but participating patients and caregivers reported high satisfaction with the home-based primary care that they received.

Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.

Virginia’s comprehensive Medicaid reform for substance use treatment services led to an increase in outpatient and community-based treatment and a decrease in emergency department and inpatient use among beneficiaries with opioid use disorder.

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.