Implementing a trauma-informed approach in primary care.

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

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

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

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.

Care coordination program reduces utilization for some high-cost, high-need Medicaid beneficiaries with diabetes.

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

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

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.

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

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

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

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

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

Staff time effort in complex care coordination programs is highly variable depending on patients’ health and social needs.

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.

Supportive housing placement for people with substance use disorder (SUD) who are homeless reduces SUD-related health care utilization.