Case studies and evidence on how PACE organizations adapted to challenges during the COVID-19 pandemic.

Evidence map of patient and family engagement strategies highlights range of evidence on self-management support and shared decision-making.

Behavioral health home model is associated with long-term changes in health services utilization for people with serious behavioral health conditions.

Care management interventions demonstrated improvements in mental health, quality of life, and patient satisfaction as well as reduced psychiatric inpatient days for people with serious mental illness.

Health insurers can implement strategies to address bias in machine learning and predictive modeling used in care management to help reduce health inequities and racial disparities.

A hospital-based program showed that peer recovery coaching can be seamlessly integrated into the workflow of busy emergency departments to address the longer-term needs of people with substance use disorders.

This guide describes key strategies for health plans, accountable care organizations, and health systems to improve care for people with serious illness.

Report analyzes experiences of and evidence on the behavioral health carve-in model in Medicaid and shares recommendations for California policymakers.

Accountable care organization leaders share perspectives on payment mechanisms used with social service organizations, challenges experienced, and the impacts of these partnerships.

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.

Behavioral health wraparound program led to reduced utilization and costs in first month after an emergency department or behavioral health admission, but mixed results occurred in subsequent months.

Describes the core elements and evidence base behind a home- and community-based palliative care model that was designed by stakeholders to support the health needs of people with serious illness.

AAAs and other community-based organizations can take key steps to improve their capacity for cross-sector partnerships to address health-related social needs of older adults.

Recommendations for how managed long-term services and supports plans can better raise awareness of and increase support for family 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.

Advancing more equitable access to telehealth may require care coordination strategies deployed alongside telehealth.

A health-related quality of life measure can be a leading indicator for future adverse health outcomes for older adults.

Varying structures of cross-sector partnerships between health care organizations, social service agencies, and local government bodies have distinct strengths and serve different functions.

Home-based primary care did not decrease hospitalizations for people with dementia, but it did result in more patient- and family-centered end-of-life care.

Study details permanent supportive housing program implementation and how this impacts outcomes and costs.