Moving patients out of the ED and into community support.

Guide for hospitals to address housing instability by understanding the evidence, evaluating different approaches, and exploring case studies of health system-led programs.

A permanent supportive housing program did not improve most measures related to physical health for individuals experiencing chronic homelessness, but did improve access to and trust in primary care.

Community approaches to reducing care utilization and costs.

Insights from experts, recent research, and state case studies offer actionable recommendations for advancing medically tailored meal initiatives to improve outcomes and reduce costs.

An initiative to distribute tablets to high-need veterans successfully reached individuals with barriers to health care access.

The National Governors Association worked for two years to improve care and lower costs for Medicaid “super-utilizers.”

A tool helps providers capture essential information when interviewing people experiencing unsheltered homelessness to support effective treatment planning.

The benefits of a transitional care program.

How to implement the new Medicare benefits.

A model to improve health and quality of life for rural seniors.

This toolkit details the benefits of home-based primary care to help providers demonstrate the need for these programs.

How home visits are used by ACOs to improve care, lower costs.

Nurse practitioners and physician assistants are associated with lower costs.

Supplementing primary care with team-based management.

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

Strategies for health centers and supportive housing providers to advance health equity by partnering to provide person-centered care.

Home-based primary care integrated with long-term services and supports in the community can delay long-term institutionalization in frail older adults without increased costs for home- and community-based services.

Shares best practices and screening tool options to identify and care for home-based primary care patients with potential fall risks.

Four care management models for ACOs.