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.

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.

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.

Health care organizations can use population-level data sources about the experiences of people with disabilities to improve care.

Demonstrates that a program assisting older adults with complex needs in navigating medical and social services may lower acute care utilization.

Mixed methods study assessed implementation successes, challenges, and outcomes of Medicaid behavioral health homes in Maine.

Describes core competencies that convey the essential knowledge, skills, and attitudes of complex care practitioners and teams to improve care for people with complex needs.

Demonstrates that intensive outpatient care programs show promise in reducing utilization and costs and improving patient outcomes for high-need, high-cost populations.

Enrollment in Maryland’s Behavioral Health Homes program increases outpatient care after hospitalization for Medicaid enrollees with serious mental illness.

Offers a practical framework for safety-net health systems to better identify and segment patients with complex needs, and tailor care models to meet their needs.