Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

The benefits of a transitional care program.

Staff time effort in complex care coordination programs is highly variable depending on patients’ health and social needs.

Nurse practitioners and physician assistants are associated with lower costs.

Details the main elements of a hospital-based addiction care consultation team.

Fostering a culture of caring for veterans takes interdisciplinary teams focused on comprehensive, trusting and reliable relationships through open and frequent communication and ongoing education.

A hospitalist model for complex care.

The case conference approach to caring for complex patients.

This resource describes the benefits of community health workers for people with multiple chronic conditions.

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

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

A home-based primary care program decreases costs and utilization for high-risk Medicare enrollees in Washington D.C.

The composition of teams varies depending on state staffing requirements and community resources.

Indicates that a community-based nurse care management model reduced all-cause mortality for older adults with chronic conditions.