Green House model results in improved outcomes for staff and residents compared to traditional nursing home model.

Secondary analysis of Camden Coalition randomized controlled data found that care management participants who were the most likely to engage with the intervention had significantly lower readmission rates.

Curated collection of research studies highlights the efficacy of services provided by community-based organizations, with a focus on outcomes relevant to health care partners.

An overview of NYC Health + Hospital’s implementation of a primary care-based social needs screening and referral program, including key implementation challenges and success factors.

This study examined the enrollment trends and characteristics of dually eligible beneficiaries in integrated care programs (ICPs).

Rethinking eligibility, beyond cost and utilization, offers a more equitable approach to identify high-need individuals for care management.

A provider tool that promotes person-centered and equitable care by recognizing and avoiding bias in electronic health record notes.

Medical notes about Black patients were more than twice as likely to contain stigmatizing language compared to white patients.

Toolkit provides best practices and practical tools for designing, implementing, and evaluating the impact of community health workers.

Highlighted how Denver Health, a large health system in Colorado, is integrating a trauma- and resilience-informed approach into organization-wide policy and practice.

Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.

Examined the challenges associated with randomized controlled trials in complex care and how the Distillation Method can help address these challenges.

This description and application of a valid and reliable measure of equity of inpatient hospital experiences can help hospitals collect better data to meaningfully promote high-quality equitable care.

Summarizes evidence on costs of health-related social needs interventions and their impact on utilization and cost of care to inform ROI Calculator users.

While there is limited research on whether Medicaid home and community-based services are available, accessible, accommodating, and acceptable for marginalized groups, existing evidence shows that there are widespread disparities that policymakers should address.

When identifying patients with complex health needs for interventions, algorithms that rely on cost data as a proxy for health status may lead to under-identification of Black patients.

Nurses and members of fully staffed interdisciplinary care teams are more likely to use patient identification and care management tools.

Recommended set of evidence-based measures for high-quality care for patients with complex needs based on systematic review of relevant measures.

Recommendations for building a stronger, more coordinated, and patient-centered complex care evidence base.