Guidance on developing a reentry program to support Native Americans who are reentering communities from jail or prisons.

A street medicine program increased post-hospitalization follow-up care for unsheltered individuals experiencing homelessness in Los Angeles.

Implementation insights from a permanent supportive housing diversion program in Los Angeles for people in the criminal legal system with serious mental illness point to the value of cross-sector, cross-agency partnerships.

A medical respite program for people experiencing homelessness shows evidence of reduced hospital readmissions and emergency department revisits.

CAPABLE, a home-based care program that provides interdisciplinary services for older adults, leads to reductions in disability as well as cost savings.

A longitudinal study found that members of recovery community centers had increased rates of substance use abstinence, psychological well-being, and quality of life after three months of engagement.

Literature review examines the roles and contributions of community health workers in improving dementia care.

A review of existing literature finds that medical respite care reduces hospital and emergency department visits, increased use of outpatient care, and leads to overall cost savings.

Embedding a health navigator in a senior housing community improved residents’ sense of physical, mental, and social well-being.

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

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

A multidisciplinary care coordination program for older adults with dementia demonstrated a positive return on investment and Medicaid cost savings.

A permanent supportive housing program did not improve most measures related to physical health for individuals experiencing chronic homelessness, but did improve access to and trust in primary care.

Program based in affordable housing sites for older adults and people with disabilities has favorable impact on Medicare and Medicaid expenditures and helps residents remain in community settings.

Medically tailored meals significantly reduced admissions to hospitals and nursing homes for people with complex health and social needs.

This resource is an updated quick reference guide to promising models for people with complex needs.

Statewide jail and prison implementation of medication for addiction treatment program in Rhode Island led to a significant decrease in overdose deaths post-incarceration.

Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.

By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.

Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked.