An integrated community health program demonstrated a cost savings of over three million dollars.

Use of machine learning clustering algorithms revealed 30 distinct subgroups of patients among high-risk veterans, indicating a need for tailored approaches to health care.

The 4Ms approach developed for the Age-Friendly Health System model — what matters, medication, mentation, mobility — has a robust evidence base for providing quality care to older adults.

Medication management interventions that support caregivers of people with dementia at care transitions can help reduce readmissions, caregiver burden, and use of high-risk medication.

Discusses the benefits and challenges of tele-social care and offers practical tips for providers administering telehealth services for social care activities.

Many physicians report low confidence in caring for patients with disability and negative perceptions about quality of life with a disability, which may reflect biased views that potentially contribute to persistent health disparities.

Patients with dementia are more likely to be discharged to hospice from hospitals that offer palliative care programs.

Evaluates the evidence on interventions for people living with dementia, their care partners, and caregivers to help identify what interventions are ready for broad implementation.

Study identifies predictive factors in individuals’ adherence to medication for opioid use disorder in outpatient settings.

Suggests that community-based organizations are responding to Medicaid redesign efforts that prioritize social determinants of health by adopting practices similar to health care organizations.

Enhanced primary care for adults with serious mental illness led to increases in primary care visits and health screenings as well as decreases in inpatient utilization.

Community health worker-led interventions for older adults with complex needs show evidence of improving participant mood and functional outcomes.

Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.

Home-based primary care programs enable care teams to gain insights on a variety of social factors that impact older adults’ health, which allows them to better tailor care to meet patient needs.

Embedding a health navigator in a senior housing community improved residents’ sense of physical, mental, and social well-being.

Home-based primary care programs made rapid care delivery adaptations in response to the COVID-19 pandemic, and this flexibility may support new opportunities to care for older, medically complex patients safely in their homes.

The Green House model for longer term care residents was associated with reduced COVID-19 death rates compared to traditional nursing homes.

Contingency management shows lasting effectiveness in promoting substance use abstinence.

A produce prescription program leads to improvements in blood pressure and A1c levels and reductions in food insecurity for people with or at risk of type 2 diabetes.

Initiative successfully implemented several evidence-based and promising addiction care models across multiple medical settings, including an inpatient addiction consult team, a low-threshold bridge clinic, peer recovery coaches, and office-based addiction treatment nurses.