Profiles Landmark Health, company to bring comprehensive care to the homes of older adult patients with multiple chronic conditions.

Profiles CAPABLE, is a participant-driven model that improves function by addressing the home environment and using the strengths of the older adults themselves.

Details a partnership between Commonwealth Care Alliance, a non-profit community-based payer and provider serving people with significant needs, and Hearth, a non-profit community-based organization focused on ending elder homelessness, to provide permanent supportive housing for eligible individuals.

This Tradeoffs podcast episode explores how states and the federal government are grappling with if and how they should permanently change policies around telehealth and addiction treatment post-pandemic.

Details NCQA's person-driven outcome measures and how they can be used to improve care for people with complex health and social needs.

Explores the epidemiology and characteristics of homebound older adults, inequities they face, and reimagines care delivery for this population.

Features Housecall Providers, a non-profit medical provider serving Portland, Oregon, offering comprehensive home- and community-based programs that incorporate palliative care services and provide patient-driven, high-touch support wherever patients call home.

Features Karla Silverman, MS, RN, CNM, Associate Director for Complex Care Delivery at the Center for Health Care Strategies, who highlights the need to expand what measures are used to assess the quality of care delivery.

Highlights Cleveland Clinic's Paramedic Telehealth Program that provides urgent and transitional care for home-based primary care patients.

Details the elements of Rush@Home’s care model and shares the impact and insights from implementing this home-based primary care program.

Describes the Department of Veterans Affairs' successful approach to home-based primary care.

Predicts what the field of complex care may look like under the Biden-Harris administration and identifies opportunities to strengthen the field.

Health Quality Partners shares lessons for other organizations that may be interested in implementing complex care programs.

CommonSpirit Health share their insights about the process of implementing social needs screening and integrating community health workers into care.

Leadership from the California Community Foundation and Southside Coalition of Community Health Centers explore their health information exchange pilot.  

Highlights PACE programs’ efforts to redesign care during the COVID-19 pandemic and presents policy options that may help to expand access to the programs in the future.

Features a conversation with Heidi Bossley and Keziah Imbeah, authors of the recently published Measuring Complexity report, who share insights into the findings and considerations for the field in adopting a more standardized approach to complex care measurement.

A community health worker and social worker from CareMore Health share their perspective on the importance of their roles in lowering costs and improving outcomes for high-need patients.

Describes key opportunities for the continued development of complex care best practices, gleaned from recent randomized controlled trials.

Features a conversation with Miriam Komaromy, MD, former ECHO Care lead, who shared key takeaways from the recent evaluation of the intervention to help inform complex care programs.