Integrating medical, behavioral health, and social services data tells a fuller story of frequent emergency department users’ service utilization and may identify candidates for care coordination.
A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.
When identifying patients with complex health needs for interventions, algorithms that rely on cost data as a proxy for health status may lead to under-identification of Black patients.
A permanent supportive housing program did not improve most measures related to physical health for individuals experiencing chronic homelessness, but did improve access to and trust in primary care.
Participation in syringe service programs can support motivation to change substance use behaviors and increase treatment participation in a rural setting.
Home-based primary care integrated with long-term services and supports in the community can delay long-term institutionalization in frail older adults without increased costs for home- and community-based services.
Details how dually enrolled beneficiaries have significantly higher levels of comorbidities and higher costs of care than their non-dually enrolled counterparts.
Describes how a health system can adapt workflow, roles and responsibilities, and communication to engage family caregivers in care transitions and comply with CARE Act requirements.
Telehealth interventions had similar outcomes to in-person care for different services and populations, but did not consistently impact utilization such as physician or emergency department visits.