Green House model results in improved outcomes for staff and residents compared to traditional nursing home model.

Explored how complex care stakeholders can incorporate a multi-factor approach to measure and demonstrate the value of complex care programs for diverse stakeholders.

Varying structures of cross-sector partnerships between health care organizations, social service agencies, and local government bodies have distinct strengths and serve different functions.

Home-based primary care did not decrease hospitalizations for people with dementia, but it did result in more patient- and family-centered end-of-life care.

Study details permanent supportive housing program implementation and how this impacts outcomes and costs.

Differing patterns of care utilization and mortality outcomes within subgroups of a complex patient population can help inform more targeted care interventions.

Maryland’s Medicaid Behavioral Health Home program increases mental health outpatient visits for adults with serious mental illness.

While telehealth has the potential to increase access to treatment for opioid use disorder, barriers still exist for patients and providers in receiving and delivering virtual care.

Supports the use of telehealth and technology-assisted services to increase access to care and improve outcomes for people who use drugs.

Systematic review of programs to improve care for patients with complex needs details evidence base across multiple settings.

Explored how health care organizations can incorporate a segmentation framework into population health management using simple algorithms.

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

Using segmentation to address clinical and social needs for Medicaid patients with complex needs and costly utilization can improve the effectiveness of complex care programs.

Guidance on developing a reentry program to support Native Americans who are reentering communities from jail or prisons.

Dementia care program delivered by an occupational therapist and tailored to the needs of patients and their caregivers shows improved patient quality of life and caregiver well-being.

A community-based care transition and management intervention showed improved outcomes for patients transitioning to outpatient community care following a psychiatric hospitalization.

Corrections-based medications for opioid use disorder program is shown to be feasible and improve health outcomes for people incarcerated in these settings with opioid use disorder.

This toolkit can support health care organizations in creating the business case for complex care programs.

A street medicine program increased post-hospitalization follow-up care for unsheltered individuals experiencing homelessness in Los Angeles.

Implementation insights from a permanent supportive housing diversion program in Los Angeles for people in the criminal legal system with serious mental illness point to the value of cross-sector, cross-agency partnerships.