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

Lessons from Los Angeles County’s Housing for Health program to reduce homelessness.

Explored innovative integrated health plan approaches to improve care transitions. Health plans featured in the webinar participate in Promoting Integrated Care for Dual Eligibles (PRIDE), a project to advance health plan strategies for providing high-quality care for dually eligible beneficiaries.

Details how two health plans in California developed programs to transition dually eligible members from institutional settings back into their communities.

Telephone- and web-based dementia care provided through centralized hubs and delivered by an interdisciplinary team can improve outcomes for people with dementia and their caregivers.

Featured representatives from Adventist Health’s Project Restoration and the Camden Coalition of Healthcare Providers who engaged in a discussion focused on partnerships with multiple sectors, including police, emergency medical services, and community-based health and human services organizations.

Impact of social needs navigation program on future utilization of patients with prior high utilization.

A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.

Guide for hospitals to address housing instability by understanding the evidence, evaluating different approaches, and exploring case studies of health system-led programs.

A home-based palliative care program in a full-risk financial arrangement showed consistent cost savings and lower hospital utilization across a 10-year period.

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.

Improving Dementia Care

A practical guide for payers to create a home-based palliative care program centered upon a value-based case example from a payer’s perspective.

This guide for state leaders offers lessons about state-level approaches to complex care.

The VA shares lessons on workforce learning and development.

This framework can help you design programs for patients with serious illnesses.

CareMore’s business model identifies high-risk patients and surrounds them with coordinated services

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

A home-based palliative care program using an interdisciplinary care team reduces hospital costs and unnecessary health care utilization for Medicare Advantage beneficiaries.

Stanford Coordinated Care provides university employees with complex health needs better care at a lower cost