The value of community health workers in advancing health equity.

A community-based palliative care program reduced medical costs, intensive care unit (ICU) admissions, hospital admissions, and days spent in the hospital for Medicare Advantage members with serious illness.

An interdisciplinary, hospital-based addiction medicine consultation team improved substance use disorder treatment engagement after hospitalization.

The benefits of a transitional care program.

How staff composition affects care delivery for older adults.

Nurse practitioners and physician assistants are associated with lower costs.

This study sought to develop recommendations for how to better integrate family caregivers into the health care team.

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

This case study analyzes a successful example of a medical group partnering with a home health agency to provide community-based palliative care for high-risk members of their accountable care organization.

Details the main elements of a hospital-based addiction care consultation team.

Care model that integrates home-based primary care and palliative care for patients with serious illness reports reduced health care utilization and improved patient care experience.

Fostering a culture of caring for veterans takes interdisciplinary teams focused on comprehensive, trusting and reliable relationships through open and frequent communication and ongoing education.

A hospitalist model for complex care.

The case conference approach to caring for complex patients.

This resource describes the benefits of community health workers for people with multiple chronic conditions.

The VA shares lessons on workforce learning and development.

How to improve the cost benefits of case management.

New Mexico’s model to deploy community health workers is now replicated in 12 states.

Clinical Nurse Specialists are playing a greater role in palliative care, but evidence on their cost-effectiveness is mixed.

Home visits can reach patients with complex needs before a higher level of care is needed