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

This webinar described how the Camden Coalition has refined and expanded programs in recent years to more effectively care for adults with complex health and social needs and integrate lessons from this evidence.

Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.

Evaluation of a diabetes-focused medically tailored meals pilot demonstrates improved health outcomes and provides examples of key implementation tools.

This webinar featured a rural Pennsylvania partnership and its experience implementing trauma-informed care across a network of providers.

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

A community health worker-led program for formerly homelessness individuals living in permanent supportive housing increased food security and social connectedness.

The reanalysis of a randomized control trial evaluating the effectiveness of a care management program finds increased linkages to ambulatory care.

A primary care-based integrated care team supports patients with type 1 or type 2 diabetes in reducing A1c levels.

Multidisciplinary integrated practice units may have a greater impact on acute care utilization by focusing on patients who have high utilization of emergency departments and are uninsured.

Addressing care coordination and medication-related needs within a mobile integrated health care-community paramedicine program leads to a reduction in hospital readmissions.

Case study details how a health system used human-centered design approaches to address disparities in access to telehealth services, including through collaboration with patients.

Report summarizes the evidence on outcomes for patients participating in various telehealth delivered services, including different modalities, such as telephone and video.

This tool can support health care and community-based organizations in building sustainable cross-sector partnerships.

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.

Toolkit offers health care stakeholders interested in working with community members guidance on equitable compensation strategies.

This resource center offers guidance to help Medicaid stakeholders engage community members in policy and program design development, especially as a means of increasing health equity.

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.