Describes factors that support health care organizations in transitioning from volume- to value-based payment.

Enrollment in Maryland’s Behavioral Health Homes program increases outpatient care after hospitalization for Medicaid enrollees with serious mental illness.

Housing First programs reduce homelessness and health care use more effectively than Treatment First approaches.

Systematic review highlights cost savings and improvement in acute care utilization for Medicaid members and dually eligible individuals receiving home-based medical care.

Growth in Medicare Advantage plans linked to decreased cost and utilization for high-need, high-cost fee-for-service Medicare beneficiaries with multiple chronic conditions.

For people with disabilities, familiarity with their care teams and care plans, and increased access to long-term services and supports can improve their perceptions of quality of life and health care.

Using community health workers can reduce hospitalizations in high-risk patients.

Higher staffing levels for specific types of staff improve quality of care in nursing homes.

Provider-based model identifies patients at highest risk for complications from COVID-19.

Enrollment in Maryland’s Behavioral Health Homes program is associated with fewer emergency department visits for adults with serious mental illness.

Health homes may increase access to mental health care and substance use disorder treatment in Medicaid enrollees with serious mental illness and/or substance use disorders.

Community health worker programs can offset program costs through reduced utilization.

California’s Whole Person Care pilot can inform cross-sector initiatives to improve care for Medicaid enrollees with complex health and social needs.

Multisector partnerships that include Area Agencies on Aging may reduce health care use and spending.

Adults with complex, high-cost health care needs are more likely to have experienced social adversity in childhood and adulthood.

Among high-cost Medicare enrollees, those who are seriously ill, frail, and/or had a serious mental illness experience the most potentially preventable spending.

Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.

Individuals experiencing homelessness had health care spending 2.5 times higher than the comparison Medicaid population.

A community health worker program yielded an annual return of $2.47 for every dollar invested by a Medicaid payer.

Virginia’s comprehensive Medicaid reform for substance use treatment services led to an increase in outpatient and community-based treatment and a decrease in emergency department and inpatient use among beneficiaries with opioid use disorder.