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

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

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

Community health worker-led program associated with reduced acute care utilization and lower Medicaid and total costs for dually eligible individuals.

Medicare beneficiaries with complex needs who were enrolled in Medicare Advantage had lower rates of acute care utilization than those enrolled in traditional Medicare.

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.

Simulation model estimates that national implementation of medically tailored meal programs for specific populations would achieve over $13.6 billion in cost savings per year.

Highlighted two community paramedicine programs in New England and rural North Carolina that serve people with complex needs.

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.

One health plan’s approach to addressing racial and ethnic disparities in medication adherence rates offers insights on levers to address racial inequities.

Details how two health plans in California developed programs to transition dually eligible members from institutional settings back into their communities.

Described how health care organizations and community-based organizations can use the ROI Calculator to explore and plan financial arrangements to fund social services for people with complex needs.

A health-related quality of life measure can be a leading indicator for future adverse health outcomes for older adults.

In nursing homes, replacing on-call physician services during off-hours with direct contact via telemedicine may reduce Medicare spending through fewer avoidable hospitalizations.

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

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

CAPABLE, a home-based care program that provides interdisciplinary services for older adults, leads to reductions in disability as well as cost savings.

Person-centered integrated care models designed to respond to the priorities of people dually eligible for Medicare and Medicaid are more likely to increase and sustain enrollment.

A cross-sector partnership to enroll older adults experiencing homelessness in permanent supportive housing led to meaningful reductions in health care costs.

Aligned D-SNP enrollment was associated with more efficient service use among some dually eligible beneficiaries.