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

Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.

Indicates that a community-based nurse care management model reduced all-cause mortality for older adults with chronic conditions.

Using community health workers can reduce hospitalizations in high-risk patients.

Highlighted innovations adopted by PACE organizations during the pandemic to provide care for older adults with complex needs.

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

Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

Explored innovative integrated health plan approaches to improve care transitions. Health plans featured in the webinar participate in Promoting Integrated Care for Dual Eligibles (PRIDE), a project to advance health plan strategies for providing high-quality care for dually eligible beneficiaries.

The benefits of a transitional care program.

Nurse practitioners and physician assistants are associated with lower costs.

This resource is an updated quick reference guide to promising models for people with complex needs.

Maximizing the impact of outpatient complex case management.

An analysis of the National Survey of ACOs

Reviews lessons from the Program of All-Inclusive Care for the Elderly on serving high-need populations in community settings.

This resource describes the value of navigators for Medicaid beneficiaries with mental illness.

This guide for state leaders offers lessons about state-level approaches to complex care.

An international expert group offers ten policy recommendations and profiles of innovative care models.

Case studies of two community hospitals show how to advance accountable care.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.