With the steep increase in use of telehealth and video visits in the last few years, the reliance on technology-enabled medicine may heighten disparities in health care access.

Community-based care management programs for patients with complex health and social needs have the potential to reduce hospitalizations and inpatient costs.

This tool can be used to guide state policy planning for a community-based palliative care benefit in Medicaid.

Recommendations for federal policymakers to improve Medicaid for adults with complex needs and improve long-term services and supports for individuals not eligible for Medicaid.

Health insurers can implement strategies to address bias in machine learning and predictive modeling used in care management to help reduce health inequities and racial disparities.

Over 14 years, individuals experiencing chronic homelessness enrolled in a permanent supportive housing program had low housing retention and high mortality.

Literature review examines the roles and contributions of community health workers in improving dementia care.

Describes the core elements and evidence base behind a home- and community-based palliative care model that was designed by stakeholders to support the health needs of people with serious illness.

This guide describes key strategies for health plans, accountable care organizations, and health systems to improve care for people with serious illness.

Home-based palliative care providers explore key facilitators and barriers to effectively delivering care within a value-based payment environment.

Using segmentation to address clinical and social needs for Medicaid patients with complex needs and costly utilization can improve the effectiveness of complex care programs.

Differing patterns of care utilization and mortality outcomes within subgroups of a complex patient population can help inform more targeted care interventions.

These resources can help nurses educate and support family caregivers in performing complex medical tasks for their family members at home.

Telehealth interventions had similar outcomes to in-person care for different services and populations, but did not consistently impact utilization such as physician or emergency department visits.

Explored how complex care stakeholders can incorporate a multi-factor approach to measure and demonstrate the value of complex care programs for diverse stakeholders.

This toolkit can support health care organizations in creating the business case for complex care programs.

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

Advance care planning more than one month prior to death is associated with decreased acute care utilization at the end of life and in-hospital death for people with serious illness.

Looked at the provider and payer relationship and discussed how successful partnerships between these two stakeholders can create sustainable and efficacious home and community based palliative care programs.