Comprehensive report on patient outcomes and implementation information from national hospital at home initiative.

This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.

Mixed outcomes for hospital at home services implemented for North Carolina Medicaid enrollees.

This webinar described how the Camden Coalition has refined and expanded programs in recent years to more effectively care for adults with complex health and social needs and integrate lessons from this evidence.

Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.

Evaluation of a diabetes-focused medically tailored meals pilot demonstrates improved health outcomes and provides examples of key implementation tools.

Nurse assessments of discharge readiness for older patients with multiple chronic conditions can help identify patients at high risk for hospital readmission.

Preliminary analysis shows that mortality and readmission rates for disabled and Medicare-Medicaid dually eligible individuals receiving hospital at home services are similar to outcomes for overall Medicare population.

The reanalysis of a randomized control trial evaluating the effectiveness of a care management program finds increased linkages to ambulatory care.

A primary care-based integrated care team supports patients with type 1 or type 2 diabetes in reducing A1c levels.

Multidisciplinary integrated practice units may have a greater impact on acute care utilization by focusing on patients who have high utilization of emergency departments and are uninsured.

Report summarizes the evidence on outcomes for patients participating in various telehealth delivered services, including different modalities, such as telephone and video.

Toolkit offers health care stakeholders interested in working with community members guidance on equitable compensation strategies.

This resource center offers guidance to help Medicaid stakeholders engage community members in policy and program design development, especially as a means of increasing health equity.

Secondary analysis of Camden Coalition randomized controlled data found that care management participants who were the most likely to engage with the intervention had significantly lower readmission rates.

An interdisciplinary care management program for Medicare patients at increased risk of hospitalization demonstrates a positive return on investment.

Curated collection of research studies highlights the efficacy of services provided by community-based organizations, with a focus on outcomes relevant to health care partners.

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

This webinar highlighted one successful CBO-health plan partnership model to explore why they entered into a partnership, how they put their contract into practice, and outcomes of the partnership so far.

Insights from patient-level encounter histories can support optimizing care coordination team staffing for high-need patients.