Comprehensive report on patient outcomes and implementation information from national hospital at home initiative.

Dual eligible beneficiaries in Virginia with integrated special needs plans reported lower out-of-pocket spending and greater plan satisfaction.

Fully integrated dual eligible plans were associated with improved care outcomes for certain subpopulations of dually eligible older adults.

A post-hospitalization supplemental home-delivered meals benefit saw significant uptake and high satisfaction among Medicare Advantage members with greater financial or food insecurity.

Nurse assessments of discharge readiness for older patients with multiple chronic conditions can help identify patients at high risk for hospital readmission.

Preliminary analysis shows that mortality and readmission rates for disabled and Medicare-Medicaid dually eligible individuals receiving hospital at home services are similar to outcomes for overall Medicare population.

Fully integrated dual-eligible special needs plans increase the use of home- and community-based services, but have limited impact on inpatient and emergency department visits and length of nursing home stays.

An association between Z code assignment and increased emergency and inpatient health care utilization presents opportunities for targeted interventions that address patients' social needs.

Medicare model allowing concurrent coverage of hospice care and treatment improves end-of-life care and reduces total costs.

A home-based palliative care program leads to reductions in hospitalizations and total cost of care, along with an increase in the use of hospice care.

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

Home-based collaborative care models (CCMs) can reduce health services utilization for low-income older adults living with depression.

Randomized controlled trial of a person-centered housing intervention for older adults shows improved health outcomes for formerly homeless adults living in permanent supportive housing.

Opportunities for identifying the financial value of dementia care to support positive return on investment.

A telephone-based community health worker program offered critical supports for older adults during the COVID-19 pandemic.

A home-based collaborative care model using community health workers shows reductions in depression and increased connection to services for older adults.

Qualitative research reveals key facilitators of access to PACE programs among Black and Latino older adults.

Information such as patient-reported function and living arrangements can help understand which patients would benefit most from home- and community-based services.

Simulation model estimates that national implementation of medically tailored meal programs for specific populations would achieve over $13.6 billion in cost savings per year.

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