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

Home-based intensive care model for Medicaid and dually eligible enrollees with complex needs led to positive health outcomes and reduced acute care spending, particularly for individuals with a behavioral health diagnosis.

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.

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

Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.

Health care organizations can use population-level data sources about the experiences of people with disabilities to improve care.

Outlines practical steps for implementing flexible supplemental benefit offerings in Medicare Advantage plans.

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

Demonstrates that intensive outpatient care programs show promise in reducing utilization and costs and improving patient outcomes for high-need, high-cost populations.

Details funding opportunities and successful approaches in the adoption of evidence-based health promotion and disease prevention programs within community-based organizations.

Identifies opportunities to strengthen integrated programs to improve care and support positive health outcomes for dually eligible individuals both during and beyond the pandemic.

A complex care transitions pilot designed through a stakeholder-driven process led to decreased hospital utilization and costs.

Medicare patients with the top five percent in preventable utilization account for almost half of all avoidable Medicare costs.

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

Effective complex care measures vary widely and need to be standardized to better align the field of complex care.

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

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

Social workers on rural primary care teams may help decrease high-risk veterans’ acute care use.

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.