How ACOs can improve care coordination.

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

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.

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.

Maximizing the impact of outpatient complex case management.

A hospitalist model for complex care.

A regional approach to health care transformation.

The psychological benefits of case management.

The case conference approach to caring for complex patients.

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

A home-based primary care program led to reduced medical costs for frail elderly patients, primarily due to lower spending at end-of-life.

Case studies of two community hospitals show how to advance accountable care.

Strategies for home-based primary care practices to improve efficiency and support program growth based on qualitative research.

A literature review describes the most important success factors for integrated care programs.

This guide for state leaders offers lessons about state-level approaches to complex care.

An international expert group offers ten policy recommendations and profiles of innovative care models.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.