Brief provides overview of medication therapy management in Medicaid to support members with multiple chronic conditions.

A comprehensive review of state mechanisms to reimburse for community health worker services.

A pharmacist-led substance use disorder intervention improved treatment retention for patients with opioid and alcohol use disorder.

Evidence-based intervention at a behavioral health home improved health outcomes for patients with co-occurring type 2 diabetes and serious mental illness.

Personalized patient navigation supports for people with comorbid substance use disorders reduced rates of hospital readmissions and emergency department use.

A care coordination and palliative care intervention for adults with complex needs was associated with significantly reduced short-term mortality.

Primary care and alternative payment models that reduce emergency department use and increase access to care for high-need populations share core components for success.

Disparities in transitional care training for caregivers of older adults based on race or financial status demonstrate need for changes in discharge processes and strategies to address bias.

Home-based program provided by a community health and social worker reduces acute care use and improves care for older adults with complex health and social needs.

An affordable housing program in Baltimore generates between $1.30-$1.92 of “social return” in the community for every dollar invested annually.

Toolkit details how hospitals and health systems can use patient race, ethnicity, and language data to advance health equity and eliminate disparities.

Literature review examines the roles and contributions of community health workers in improving dementia care.

A review of existing literature finds that medical respite care reduces hospital and emergency department visits, increased use of outpatient care, and leads to overall cost savings.

Home-based intensive care model for Medicaid and dually eligible enrollees with complex needs led to positive health outcomes and reduced acute care spending, particularly for individuals with a behavioral health diagnosis.

Peer recovery services offered to people with substance use disorder returning to community from incarceration is shown to reduce substance use and improve health and treatment motivation.

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

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.

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

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