Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations.

Describes the needs of distinct subpopulations within the dually eligible population with highly complex needs, along with opportunities for tailored interventions that may reduce health care spending.

Describes core competencies that convey the essential knowledge, skills, and attitudes of complex care practitioners and teams to improve care for people with complex needs.

Applying principles of trauma-informed care for patients at end of life.

Medicare patients with the top five percent in preventable utilization account for almost half of all avoidable Medicare costs.

Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

Hospital system call line expands access to palliative care supports amid COVID-19.

Effective complex care measures vary widely and need to be standardized to better align the field of complex care.

Among high-cost Medicare enrollees, those who are seriously ill, frail, and/or had a serious mental illness experience the most potentially preventable spending.

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

This robust online database provides detailed information on evidence-based dementia caregiving programs to better support family caregivers.

Using patient-self reported data instead of only utilization outcomes may enable better segmentation of older adults.

A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.

Recommendations for integrating social and health care to improve the nation’s health.

Impact of social needs navigation program on future utilization of patients with prior high utilization.

This study sought to develop recommendations for how to better integrate family caregivers into the health care team.

A standardized tool to assess where along a continuum a program lies with regard to components of integration.