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

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

Literature review examines the roles and contributions of community health workers in improving dementia care.

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

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.

A home-based primary care program led to reduced medical costs for frail elderly patients, primarily due to lower spending at end-of-life.