Recommendations for building a stronger, more coordinated, and patient-centered complex care evidence base.

Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.

A patient navigation intervention for people with substance use disorder led to cost savings of over $17,000 per participant after 12 months post-discharge due to reduced inpatient admissions and emergency department visits.

Recommended set of evidence-based measures for high-quality care for patients with complex needs based on systematic review of relevant measures.

Black caregivers of people with dementia share their perspectives on a care coordination intervention.

Social and legal services to address health care costs and utilization may be most effective for individuals with moderately high utilization who are less clinically complex.

Louisiana improved Medicaid enrollment and health care access for people reentering communities from state prisons.

Toolkit offers lessons for integrating behavioral health into primary care settings.

Analytical approach for randomized controlled trials may be valuable for understanding the impact of complex care interventions and the subpopulations that may benefit from them.

Partnerships between community-based organizations and primary care providers can improve depression care for older adults.

A collaborative interprofessional dementia care program significantly improved the timeliness of diagnosis compared to traditional clinics and achieved high satisfaction rates among staff, patients, and caregivers.

Resources to help organizations plan and implement medical respite care programs, including program development guides, case examples, and implementation tools.

State investments in enhanced primary care for older and chronically ill individuals recently released from incarceration yielded a $2.55 return on investment for Medicaid and criminal justice combined.

This study identifies facilitators and barriers of hospital- and community-based harm reduction collaboration efforts and highlights hospital-based opportunities to better serve people who use drugs.

Care management interventions for people transitioning from behavioral health inpatient care may be successful in decreasing readmissions if they address health-related social needs.

Virtual collaborative care intervention demonstrates an approach to improve medication adherence and health outcomes.

Primary care medical home improved use of preventive services, chronic illness care, care experience, psychotic symptoms, and mental health-related quality of life for people with serious mental illness.

Housing needs assessment tool can help providers who work with people leaving incarceration to better understand their housing needs and risk of homelessness.

Peer recovery coaching intervention for hospitalized people with substance use disorder led to mixed acute care utilization outcomes.

A hospital successfully integrated a harm reduction services intervention for patients whose substance use goals did not include abstinence.