A home-based primary care program for homebound older adults leads to reductions in health care utilization and overall cost savings.

A care management model designed to center patients’ health priorities shows promising results.

Secondary analysis of Camden Coalition randomized controlled data found that care management participants who were the most likely to engage with the intervention had significantly lower readmission rates.

An interdisciplinary care management program for Medicare patients at increased risk of hospitalization demonstrates a positive return on investment.

Curated collection of research studies highlights the efficacy of services provided by community-based organizations, with a focus on outcomes relevant to health care partners.

Pharmacy liaison-patient navigator programs offer a promising approach to streamline screening and system navigation efforts related to health-related social needs.

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

Having onsite care coordinators may significantly improve the quality of patient care, while centralized coordination is associated with increased information sharing.

A program to connect Medicaid ACO enrollees with nutrition and housing-related services demonstrated early indications of effectiveness.

This webinar highlighted one successful CBO-health plan partnership model to explore why they entered into a partnership, how they put their contract into practice, and outcomes of the partnership so far.

Insights from patient-level encounter histories can support optimizing care coordination team staffing for high-need patients.

Implementation of a high-dose care management intervention for patients with complex health and social needs can reduce hospitalization rates.

An overview of NYC Health + Hospital’s implementation of a primary care-based social needs screening and referral program, including key implementation challenges and success factors.

Randomized controlled trial measuring the impact of a community paramedicine model implemented in two rural counties shows reduction in emergency department visits.

This study examined the enrollment trends and characteristics of dually eligible beneficiaries in integrated care programs (ICPs).

Rethinking eligibility, beyond cost and utilization, offers a more equitable approach to identify high-need individuals for care management.

Barriers to community social services to address health-related social needs persist despite screening and referral programs in clinical settings.

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

Integrated care in MassHealth ACOs varies greatly across primary care practice type and is associated with greater ability to improve care quality and advance health equity.

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.