Home-based primary care nurse practitioners improve health outcomes for homebound older adults.

Pairing promotores with clinicians increased in-home visits and reduced acute care use and health care costs for homebound older adults.

Program led by a nurse practitioner and community health worker improved housing stability, access to primary care, and chronic disease management among older women experiencing homelessness.

Research review finds that incorporating community health workers into primary care reduced A1c levels and improved self-management and satisfaction among older adults with diabetes.

Evaluation shares health, social, emotional, and financial outcomes resulting from community health worker programs for older adults in Texas.

This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.

Fully integrated dual eligible plans were associated with improved care outcomes for certain subpopulations of dually eligible older adults.

Nurse assessments of discharge readiness for older patients with multiple chronic conditions can help identify patients at high risk for hospital readmission.

Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.

Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.

Report summarizes the evidence on outcomes for patients participating in various telehealth delivered services, including different modalities, such as telephone and video.

Toolkit offers health care stakeholders in rural areas with practical information to support the design, implementation, and evaluation of community paramedicine programs.

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.

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 interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

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.