Dementia care program delivered by an occupational therapist and tailored to the needs of patients and their caregivers shows improved patient quality of life and caregiver well-being.

A community-based care transition and management intervention showed improved outcomes for patients transitioning to outpatient community care following a psychiatric hospitalization.

Corrections-based medications for opioid use disorder program is shown to be feasible and improve health outcomes for people incarcerated in these settings with opioid use disorder.

Looked at the provider and payer relationship and discussed how successful partnerships between these two stakeholders can create sustainable and efficacious home and community based palliative care programs.

Home-based palliative care program implemented within an accountable care organization created cost savings through reduced hospital admissions and increased hospice length of stay.

This toolkit can support health care organizations in creating the business case for complex care programs.

Care team models with more nurse practitioners and physician assistants than physicians are associated with increased primary care and geriatrics services provision and reduced labor costs.

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

Implementation insights from a permanent supportive housing diversion program in Los Angeles for people in the criminal legal system with serious mental illness point to the value of cross-sector, cross-agency partnerships.

A medical respite program for people experiencing homelessness shows evidence of reduced hospital readmissions and emergency department revisits.

An interdisciplinary team approach can improve care coordination and reduce length of hospital stays for older adults with complex health and social needs.

Describes electronic health record system functionality that automatically identifies patients likely to need technical assistance prior to telehealth visits.

Systematic review finds mixed results for health information technology in enhancing coordinated care and improving health outcomes for people with multiple chronic conditions.

Longer participation in a patient-centered medical home is associated with better mental health care for people enrolled in Medicaid with major depressive disorder and multiple chronic conditions.

A cross-sector partnership to enroll older adults experiencing homelessness in permanent supportive housing led to meaningful reductions in health care costs.

Understanding the values of patients with complex health and social needs can help providers improve care.

Advance care planning more than one month prior to death is associated with decreased acute care utilization at the end of life and in-hospital death for people with serious illness.

Evidence-based behavioral intervention in which positive behaviors are reinforced with material incentives may address clinical problems among people receiving medications for opioid use disorder.

Analysis of 310 health systems showed gaps in opioid receipt between Black and white patients, especially on dosage, which may be related to racial bias among clinicians.

A randomized controlled trial found Denver’s Housing First program led to positive impacts on health and utilization for individuals experiencing chronic homelessness and frequent periods of incarceration.