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

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

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.

Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.

A community health worker program yielded an annual return of $2.47 for every dollar invested by a Medicaid payer.

Tips on integrating community health workers into quality improvement teams to address patients’ social needs.

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

The value of community health workers in advancing health equity.

The benefits of a transitional care program.

Staff time effort in complex care coordination programs is highly variable depending on patients’ health and social needs.

Nurse practitioners and physician assistants are associated with lower costs.

Details the main elements of a hospital-based addiction care consultation team.

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.

A hospitalist model for complex care.

The case conference approach to caring for complex patients.

This resource describes the benefits of community health workers for people with multiple chronic conditions.

The VA shares lessons on workforce learning and development.

How to improve the cost benefits of case management.