Medicare patients with the top five percent in preventable utilization account for almost half of all avoidable Medicare costs.

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

A comprehensive overview of different funding approaches to sustainably finance CHW programs.

Training for caregivers of veterans living with dementia may help them remain in their home longer, but may lead to increased health care costs.

Highlighted innovations adopted by PACE organizations during the pandemic to provide care for older adults with complex needs.

CHW intervention reduced health care costs and utilization for low-income women with depression.

This toolkit shares business strategies, sample protocols, and best practice clinical tools for health care providers interested in developing a home-based palliative care program.

Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.

Effective complex care measures vary widely and need to be standardized to better align the field of complex care.

Provider-based model identifies patients at highest risk for complications from COVID-19.

Health homes may increase access to mental health care and substance use disorder treatment in Medicaid enrollees with serious mental illness and/or substance use disorders.

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.

California’s Whole Person Care pilot can inform cross-sector initiatives to improve care for Medicaid enrollees with complex health and social needs.

Multisector partnerships that include Area Agencies on Aging may reduce health care use and spending.

This tip sheet provides guidelines for how health plans and provider organizations can use more person-centered language.

Highlighted lessons from two recent studies to help guide future program and measurement approaches for complex care management interventions.

Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

Adults with complex, high-cost health care needs are more likely to have experienced social adversity in childhood and adulthood.