Lead researchers discuss the evaluation of NavSTAR, an intervention designed to reduce hospital readmissions by combining substance use disorder consultation services with intensive case management and linkages to community resources.

Features the viewpoints of complex care leaders on how the pandemic and efforts to improve health equity have impacted their complex care business models.

Highlights the efforts of two Medicare Advantage plans ― UCare in Minnesota and UPMC Health Plan in Pennsylvania ― to provide supplemental benefits to family caregivers.

Shares key themes from a panel discussion that explored how to translate research findings into decision making for complex care program design and improvements.

Profiles the Care Ecosystem program, developed at the University of California, San Francisco, that is using care team navigators to support older adults with dementia who are living at home and their caregivers.

Profiles the Rush Caregiver Intervention at Rush University Medical Center, that is working to transform how the health care system interacts with family caregivers, while providing programs and services that support caregivers and their family members.

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.

The Playbook’s 2021 summer reading list can catch you up on the latest innovations in improving care for people with complex needs.

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.

Summarizes key recommendations from a recent Trust for America’s Health report, which outlines how federal, state, and local government agencies and their partners can facilitate equitable vaccination for this population and how to include the needs of homebound individuals in future public health strategies and planning.

Explores study findings on why provider organizations decide to participate in a Medicare accountable care organization program, what factors impact successful value-based payment uptake, and what this means for complex care.