Health plans can use this toolkit to create or advance outpatient and home-based palliative care programs, beyond traditional acute care settings.

Medically tailored meals significantly reduced admissions to hospitals and nursing homes for people with complex health and social needs.

Insights from experts, recent research, and state case studies offer actionable recommendations for advancing medically tailored meal initiatives to improve outcomes and reduce costs.

Recommendations for policymakers, health plans, and providers on implementing medically tailored meals programs.

National database offers free information on dementia care programs for family caregivers.

A communication enhancement program improves frequency, quality, and documentation of serious illness conversations between oncology clinicians and patients with advanced cancer.

This conversation guide can help providers facilitate emotionally safe and comprehensive conversations with patients who have serious illness.

A home-based palliative care program leads to reductions in hospitalizations and total cost of care, along with an increase in the use of hospice care.

Medicare model allowing concurrent coverage of hospice care and treatment improves end-of-life care and reduces total costs.

State policy recommendations to improve the recruitment, retention, and training of the direct care workforce.

This report identifies policy strategies for states to expand access to respite care for caregivers.

Recommendations for how managed long-term services and supports plans can better raise awareness of and increase support for family caregivers.

Randomized controlled trial shows that a collaborative dementia care model leads to reduction in costs among a sample of Medicare patients.

A care management model designed to center patients’ health priorities shows promising results.

A home-based primary care program for homebound older adults leads to reductions in health care utilization and overall cost savings.

An expert panel proposed key principles for designing care navigation programs for persons living with dementia and their caregivers.

Care coordination services in primary care clinics are shown to reduce avoidable hospitalizations among persons living with dementia.

A cost analysis of a randomized controlled trial shows that a tailored activity program for persons living with dementia results in healthcare savings.

Implementation of enhanced primary care can improve cardiometabolic health for people with serious mental illness.

Community health worker-led advance care planning and symptom screening program reduced acute care use for patients with advanced stages of cancer.