Tools, tips, and vignettes for incorporating telehealth into home-based primary care models.

Details how two health plans in California developed programs to transition dually eligible members from institutional settings back into their communities.

Ten common attributes for successful care management programs serving high-need, high-cost populations.

Program based in affordable housing sites for older adults and people with disabilities has favorable impact on Medicare and Medicaid expenditures and helps residents remain in community settings.

This toolkit details the benefits of home-based primary care to help providers demonstrate the need for these programs.

How home visits are used by ACOs to improve care, lower costs.

Supplementing primary care with team-based management.

Home-based primary care integrated with long-term services and supports in the community can delay long-term institutionalization in frail older adults without increased costs for home- and community-based services.

Four care management models for ACOs.

How ACOs can improve care coordination.

This resource is an updated quick reference guide to promising models for people with complex needs.

Video series details how health systems can redesign primary care, including through home-based primary care programs, to better meet the needs of people with disabilities.

Fostering a culture of caring for veterans takes interdisciplinary teams focused on comprehensive, trusting and reliable relationships through open and frequent communication and ongoing education.

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.

This resource outlines the current state of complex care and recommendations for the future.

An analysis of the National Survey of ACOs

This resource describes how academic medical centers can reshape the health system for patients with complex needs.

Maximizing the impact of outpatient complex case management.

A hospitalist model for complex care.

A regional approach to health care transformation.