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

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.

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

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

Analysis of street medicine programs reveals differences in behavioral health services across programs, highlighting key facilitators and challenges to better integration of these services within street medicine.

Community health worker interventions are effective for improving health behaviors and outcomes and reducing health care costs for people with chronic disease.

An expert panel proposed key principles for designing care navigation programs for persons living with dementia and their caregivers.

Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.

Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.

Community health worker-led advance care planning and symptom screening program reduced acute care use for patients with advanced stages of cancer.

This study identifies facilitators and barriers of hospital- and community-based harm reduction collaboration efforts and highlights hospital-based opportunities to better serve people who use drugs.

Community-based care management programs for patients with complex health and social needs have the potential to reduce hospitalizations and inpatient costs.

Patients and community health workers (CHWs) share perspectives on the impact of CHW services provided within a primary care setting to address barriers to equitable care.

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

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

A tool helps providers capture essential information when interviewing people experiencing unsheltered homelessness to support effective treatment planning.

Program based in affordable housing sites for older adults and people with disabilities has favorable impact on Medicare and Medicaid expenditures and helps residents remain in community settings.

A regional approach to health care transformation.

By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.