Telemedicine may expand access to acute illness care and reduce emergency department visits for older adults.

This resource provides a definition and essential elements of person-centered care.

Targeting is important, even within the high-need patients enrolled in the program.

Much of the evidence comes from small studies, so further testing is needed.

Key opportunities include strengthening information technology connections across service providers.

Segmenting the high-cost population is the first step in matching appropriate care management strategies.

This report presents the findings from the evaluation of Medicaid health homes, created as part of the Affordable Care Act.

A framework describes how to train the health care workforce to care for people with multiple chronic conditions.

Emergency department-initiated buprenorphine for opioid-dependent patients demonstrated significantly higher rates of addiction treatment engagement than interventions without buprenorphine.

This resource takes a close look at individuals with complex needs who are privately insured.

Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.

Incorporating community engagement into public health interventions leads to improved health outcomes and a greater sense of self-efficacy among intervention recipients.

Promising approaches to reduce loneliness for older adults in community and institutional settings.

The Department of Veterans Affairs home-based primary care program reduced total costs of care for VA and Medicare and earned high satisfaction ratings from patients and their caregivers.

A three-pronged strategy can help manage care for Medicare beneficiaries.

A comparison of 18 complex care management programs reveals best practices.

In nursing homes, replacing on-call physician services during off-hours with direct contact via telemedicine may reduce Medicare spending through fewer avoidable hospitalizations.

The approach identifies patients through chart review and data analytics coupled with the intelligence of community health workers.

The benefits of, incentives for, and various models to deliver palliative care are described.

Setting up data collection systems is important to showing value.