Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.

Higher staffing levels for specific types of staff improve quality of care in nursing homes.

Enhanced primary care for Medicaid enrollees with serious mental illness can help decrease emergency department use over time.

Trauma-informed approaches in emergency departments may improve experiences of adults with high rates of adverse childhood experiences.

Effective complex care measures vary widely and need to be standardized to better align the field of complex care.

Hospital system call line expands access to palliative care supports amid COVID-19.

Provider-based model identifies patients at highest risk for complications from COVID-19.

Accountable care organizations (ACOs) and tailored care coordination strategies may improve preventable hospitalizations and reduce racial disparities among patients with coexisting physical and mental health conditions.

Health homes may increase access to mental health care and substance use disorder treatment in Medicaid enrollees with serious mental illness and/or substance use disorders.

Individuals experiencing homelessness can benefit from intensive, continuous, and community-based case management interventions.

Community health worker programs can offset program costs through reduced utilization.

Social workers on rural primary care teams may help decrease high-risk veterans’ acute care use.

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

Multisector partnerships that include Area Agencies on Aging may reduce health care use and spending.

Health care systems may need to tailor screening and referral approaches for social needs, as some needs may be less likely to be met by social service organizations.

This tip sheet provides guidelines for how health plans and provider organizations can use more person-centered language.

Highlighted lessons from two recent studies to help guide future program and measurement approaches for complex care management interventions.

Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

Adults with complex, high-cost health care needs are more likely to have experienced social adversity in childhood and adulthood.