The value of community health workers in advancing health equity.

CHW intervention reduced health care costs and utilization for low-income women with depression.

Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

Enhanced primary care for Medicaid enrollees with serious mental illness can help decrease emergency department use over time.

A randomized clinical trial of an 18-month comprehensive intervention showed significant reductions in cardiovascular disease risk in adults with serious mental illness.

Effectively implementing medications for addiction treatment programs in primary care settings.

Accountable care organizations (ACOs) and tailored care coordination strategies may improve preventable hospitalizations and reduce racial disparities among patients with coexisting physical and mental health conditions.

Effective complex care measures vary widely and need to be standardized to better align the field of complex care.

Health homes may increase access to mental health care and substance use disorder treatment in Medicaid enrollees with serious mental illness and/or substance use disorders.

Provider-based model identifies patients at highest risk for complications from COVID-19.

Social workers on rural primary care teams may help decrease high-risk veterans’ acute care use.

California’s Whole Person Care pilot can inform cross-sector initiatives to improve care for Medicaid enrollees with complex health and social needs.

Health care systems may need to tailor screening and referral approaches for social needs, as some needs may be less likely to be met by social service organizations.

Individuals experiencing homelessness can benefit from intensive, continuous, and community-based case management interventions.

Adults with complex, high-cost health care needs are more likely to have experienced social adversity in childhood and adulthood.

Among high-cost Medicare enrollees, those who are seriously ill, frail, and/or had a serious mental illness experience the most potentially preventable spending.

Highlighted lessons from two recent studies to help guide future program and measurement approaches for complex care management interventions.

Integrating medical, behavioral health, and social services data tells a fuller story of frequent emergency department users’ service utilization and may identify candidates for care coordination.

Ten common attributes for successful care management programs serving high-need, high-cost populations.