Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

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.

Describes how health care providers and their correctional agency partners can design medications for addiction treatment programs for people with opioid use disorder in jails and prisons.

Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations.

Discharge to medical respite care leads to lower hospital readmission rates among individuals who are frequently admitted to the hospital.

A multidisciplinary care coordination program for older adults with dementia demonstrated a positive return on investment and Medicaid cost savings.

A set of resources and strategies to help health care stakeholders foster authentic, effective community engagement that drives local policy and program change.

Telephone- and web-based dementia care provided through centralized hubs and delivered by an interdisciplinary team can improve outcomes for people with dementia and their caregivers.

Implementing a trauma-informed approach in primary care.

Integrating medical, behavioral health, and social services data tells a fuller story of frequent emergency department users’ service utilization and may identify candidates for care coordination.

Assessing post-discharge needs.

Impact of social needs navigation program on future utilization of patients with prior high utilization.

The value of community health workers in advancing health equity.

A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.

Ten common attributes for successful care management programs serving high-need, high-cost populations.

When identifying patients with complex health needs for interventions, algorithms that rely on cost data as a proxy for health status may lead to under-identification of Black patients.

Recommendations for integrating social and health care to improve the nation’s health.

Effectively implementing medications for addiction treatment programs in primary care settings.

Challenges and opportunities for older adults with multiple chronic conditions.