Recommendations for federal policymakers to improve Medicaid for adults with complex needs and improve long-term services and supports for individuals not eligible for Medicaid.

This tool can be used to guide state policy planning for a community-based palliative care benefit in Medicaid.

State policy recommendations to improve the recruitment, retention, and training of the direct care workforce.

This report identifies policy strategies for states to expand access to respite care for caregivers.

Explored how complex care stakeholders can incorporate a multi-factor approach to measure and demonstrate the value of complex care programs for diverse stakeholders.

Using segmentation to address clinical and social needs for Medicaid patients with complex needs and costly utilization can improve the effectiveness of complex care programs.

A street medicine program increased post-hospitalization follow-up care for unsheltered individuals experiencing homelessness in Los Angeles.

A novel street psychiatry program offers essential mental health support to unsheltered individuals experiencing homelessness.

Literature review examines the roles and contributions of community health workers in improving dementia care.

Evaluates the evidence on interventions for people living with dementia, their care partners, and caregivers to help identify what interventions are ready for broad implementation.

Suggests that community-based organizations are responding to Medicaid redesign efforts that prioritize social determinants of health by adopting practices similar to health care organizations.

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

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

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

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.

The proportion of low-income, frail, and medically complex individuals enrolled in Medicare Advantage is increasing.

Analysis of expanded supplemental benefit adoption for Medicare Advantage enrollees

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

Among high-cost Medicare enrollees, those who are seriously ill, frail, and/or had a serious mental illness experience the most potentially preventable spending.

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