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.

This resource describes one tool to identify patients most likely to benefit from care management.

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.

This resource provides a road map for health plans to improve Medical Loss Ratio.

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 resource describes the benefits of community health workers for people with multiple chronic conditions.

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.

This resource describes the value of navigators for Medicaid beneficiaries with mental illness.

Evaluation of state Medicaid health home model programs details approaches for implementation and outcomes for enrolled members.

ACOs have lowered costs for high-need patients through care management programs focused on modifiable spending.

Including caregivers in the discharge planning process reduces the risk of hospital readmission for older adults.

Home-based primary care program reduced hospitalizations for older adults with diabetes, especially those with higher levels of medical complexity.