A cross-sector partnership to enroll older adults experiencing homelessness in permanent supportive housing led to meaningful reductions in health care costs.

Understanding the values of patients with complex health and social needs can help providers improve care.

Trust, flexible funding, cross-sector support, sustainability, and an explicit focus on structural racism are identified as key components of effective community engagement to advance health equity.

Offers practical recommendations to improve telemedicine interventions to be more equitable for diverse populations, particularly those with low incomes.

Contains practical guides, tools, and other resources for developing complex care programs.

Use of hospital readmission rates to measure quality may be unfair for some accountable care organizations and safety-net providers, since members with complex medical and social needs are a main driver of these rates.

A novel street psychiatry program offers essential mental health support to unsheltered individuals experiencing homelessness.

Includes patient- and staff-reported measures to help complex care programs better understand the impacts of interventions.

A comprehensive review of state mechanisms to reimburse for community health worker services.

Consumers and staff members of health and social service organizations share their community engagement experiences.

Over 14 years, individuals experiencing chronic homelessness enrolled in a permanent supportive housing program had low housing retention and high mortality.

A permanent supportive housing program reduced emergency department visits within the first six months of placement but showed neutral effects on total cost of care and primary care utilization for Medicaid enrollees.

Primary care and alternative payment models that reduce emergency department use and increase access to care for high-need populations share core components for success.

Creating clinically meaningful profiles of patients with medically complex needs can support the delivery of more tailored interventions.

An affordable housing program in Baltimore generates between $1.30-$1.92 of “social return” in the community for every dollar invested annually.

Literature review examines the roles and contributions of community health workers in improving dementia care.

Use of machine learning clustering algorithms revealed 30 distinct subgroups of patients among high-risk veterans, indicating a need for tailored approaches to health care.

Discusses the benefits and challenges of tele-social care and offers practical tips for providers administering telehealth services for social care activities.

Patients with dementia are more likely to be discharged to hospice from hospitals that offer palliative care programs.

Suggests that community-based organizations are responding to Medicaid redesign efforts that prioritize social determinants of health by adopting practices similar to health care organizations.