Case study on nursing home adoption of the household model shows positive impacts on quality and resident satisfaction.

Recommendations for building a stronger, more coordinated, and patient-centered complex care evidence base.

Summarizes evidence on costs of health-related social needs interventions and their impact on utilization and cost of care to inform ROI Calculator users.

Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.

Study shows racial disparities in how coverage by a Dual-Eligible Special Needs Plan (D-SNP) impacts the experience of care.

Recommended set of evidence-based measures for high-quality care for patients with complex needs based on systematic review of relevant measures.

A home-based urgent care program for frail, homebound older adults did not reduce emergency department visits, hospitalizations, or total medical expenditure.

This description and application of a valid and reliable measure of equity of inpatient hospital experiences can help hospitals collect better data to meaningfully promote high-quality equitable care.

One health plan’s approach to addressing racial and ethnic disparities in medication adherence rates offers insights on levers to address racial inequities.

Nurses and members of fully staffed interdisciplinary care teams are more likely to use patient identification and care management tools.

Louisiana improved Medicaid enrollment and health care access for people reentering communities from state prisons.

Case managers noted establishing trust, fostering mindset changes, and increasing stability and independence can be measures of success when working with people with complex needs.

Summarizes research on the prevalence of social screening in health care settings, validity of social screening tools, and patient and provider perspectives on social screening.

Analytical approach for randomized controlled trials may be valuable for understanding the impact of complex care interventions and the subpopulations that may benefit from them.

While there is limited research on whether Medicaid home and community-based services are available, accessible, accommodating, and acceptable for marginalized groups, existing evidence shows that there are widespread disparities that policymakers should address.

Described how health care organizations and community-based organizations can use the ROI Calculator to explore and plan financial arrangements to fund social services for people with complex needs.

Contains policy recommendations to improve the home health care benefit for people on Medicare with complex needs.

Provides an overview and evaluation of the Behavioral Health Initiative for Older Adults and People with Physical Disabilities in Oregon.

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

Patients with complex needs were more satisfied with in-home urgent care delivered by community paramedics than with emergency department urgent care.