Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.

Embedding a health navigator in a senior housing community improved residents’ sense of physical, mental, and social well-being.

Home-based primary care programs made rapid care delivery adaptations in response to the COVID-19 pandemic, and this flexibility may support new opportunities to care for older, medically complex patients safely in their homes.

Health care organizations can use population-level data sources about the experiences of people with disabilities to improve care.

Outlines practical steps for implementing flexible supplemental benefit offerings in Medicare Advantage plans.

Study finds that private equity ownership of skilled nursing facilities leads to a significantly higher average mortality rate for residents.

Describes core competencies that convey the essential knowledge, skills, and attitudes of complex care practitioners and teams to improve care for people with complex needs.

Describes factors that support health care organizations in transitioning from volume- to value-based payment.

Summarizes different approaches and criteria that can be used to identify patients with complex needs for health system interventions.

Details funding opportunities and successful approaches in the adoption of evidence-based health promotion and disease prevention programs within community-based organizations.

Identifies opportunities to strengthen integrated programs to improve care and support positive health outcomes for dually eligible individuals both during and beyond the pandemic.

Offers a practical framework for safety-net health systems to better identify and segment patients with complex needs, and tailor care models to meet their needs.

A complex care transitions pilot designed through a stakeholder-driven process led to decreased hospital utilization and costs.

This case study highlights an accountable care organization’s home-based primary care program for homebound older adults, with early analysis of outcomes showing reduced acute care utilization.

For people with disabilities, familiarity with their care teams and care plans, and increased access to long-term services and supports can improve their perceptions of quality of life and health care.

Medicare patients with the top five percent in preventable utilization account for almost half of all avoidable Medicare costs.

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

Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.

Higher staffing levels for specific types of staff improve quality of care in nursing homes.

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