Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.

Describes factors that support health care organizations in transitioning from volume- to value-based payment.

Summarizes different approaches and criteria that can be used to identify patients with complex needs for health system interventions.

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

Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.

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.

Presents tools and tips frontline care management staff to address high-risk patients’ unmet social health needs during the COVID-19 pandemic.

Demonstrates that intensive outpatient care programs show promise in reducing utilization and costs and improving patient outcomes for high-need, high-cost populations.

Trauma-informed approaches in emergency departments may improve experiences of adults with high rates of adverse childhood experiences.

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

Implementing a trauma-informed approach in primary care.

Strategies and a case example illustrate how principles of trauma-informed care can be applied to telehealth.

A complex care transitions pilot designed through a stakeholder-driven process led to decreased hospital utilization and costs.

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

An initiative to distribute tablets to high-need veterans successfully reached individuals with barriers to health care access.

Lessons from Los Angeles County’s Housing for Health program to reduce homelessness.

Housing First programs reduce homelessness and health care use more effectively than Treatment First approaches.

Integrated health care systems can better support high-risk patients by embedding high-risk patient care within general primary care and mental health care.

Tips on integrating community health workers into quality improvement teams to address patients’ social needs.

Community health worker programs can offset program costs through reduced utilization.