While telehealth has the potential to increase access to treatment for opioid use disorder, barriers still exist for patients and providers in receiving and delivering virtual care.

Accountable care organization leaders share perspectives on payment mechanisms used with social service organizations, challenges experienced, and the impacts of these partnerships.

Advancing more equitable access to telehealth may require care coordination strategies deployed alongside telehealth.

Home-based palliative care providers explore key facilitators and barriers to effectively delivering care within a value-based payment environment.

Using segmentation to address clinical and social needs for Medicaid patients with complex needs and costly utilization can improve the effectiveness of complex care programs.

Peer providers with lived experiences of substance use and mental health disorders can help improve patient outcomes and play a unique role in the behavioral health workforce.

A pharmacist-led substance use disorder intervention improved treatment retention for patients with opioid and alcohol use disorder.

Differing patterns of care utilization and mortality outcomes within subgroups of a complex patient population can help inform more targeted care interventions.

Systematic review of programs to improve care for patients with complex needs details evidence base across multiple settings.

Global budgets for hospitals reduced expenditures and utilization for some Medicare subpopulations with complex health and social needs, yet disparities existed for some subgroups.

Telephone- and web-based dementia care provided through centralized hubs and delivered by an interdisciplinary team can improve outcomes for people with dementia and their caregivers.

Training for caregivers of veterans living with dementia may help them remain in their home longer, but may lead to increased health care costs.

Dementia care program delivered by an occupational therapist and tailored to the needs of patients and their caregivers shows improved patient quality of life and caregiver well-being.

Including caregivers in the discharge planning process reduces the risk of hospital readmission for older adults.

Describes how a health system can adapt workflow, roles and responsibilities, and communication to engage family caregivers in care transitions and comply with CARE Act requirements.

Details implementation guidance for the evidence-based Care Ecosystem model, which improves supports for people with dementia and their caregivers.

These resources can help nurses educate and support family caregivers in performing complex medical tasks for their family members at home.

An interdisciplinary team approach can improve care coordination and reduce length of hospital stays for older adults with complex health and social needs.

Systematic review finds mixed results for health information technology in enhancing coordinated care and improving health outcomes for people with multiple chronic conditions.

Longer participation in a patient-centered medical home is associated with better mental health care for people enrolled in Medicaid with major depressive disorder and multiple chronic conditions.