Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.

Describes core competencies that convey the essential knowledge, skills, and attitudes of complex care practitioners and teams to improve care for people with complex needs.

Offers a practical framework for safety-net health systems to better identify and segment patients with complex needs, and tailor care models to meet their needs.

Systematic review highlights cost savings and improvement in acute care utilization for Medicaid members and dually eligible individuals receiving home-based medical care.

This case study highlights an accountable care organization’s home-based primary care program for homebound older adults, with early analysis of outcomes showing reduced acute care utilization.

Step-by-step guide with robust tools for health systems to apply the 4Ms framework to deliver age-friendly, evidence-based care for older adults.

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

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

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

Insights from experts, recent research, and state case studies offer actionable recommendations for advancing medically tailored meal initiatives to improve outcomes and reduce costs.

This toolkit details the benefits of home-based primary care to help providers demonstrate the need for these programs.

Supplementing primary care with team-based management.

Four care management models for ACOs.

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.

Telehealth interventions had similar outcomes to in-person care for different services and populations, but did not consistently impact utilization such as physician or emergency department visits.

This resource outlines the current state of complex care and recommendations for the future.

An analysis of the National Survey of ACOs

This resource describes how academic medical centers can reshape the health system for patients with complex needs.