A community health worker program yielded an annual return of $2.47 for every dollar invested by a Medicaid payer.

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.

This robust online database provides detailed information on evidence-based dementia caregiving programs to better support family caregivers.

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

Using patient-self reported data instead of only utilization outcomes may enable better segmentation of older adults.

A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.

Recommendations for integrating social and health care to improve the nation’s health.

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.

Impact of social needs navigation program on future utilization of patients with prior high utilization.

The benefits of a transitional care program.

Moving patients out of the ED and into community support.

A model to improve health and quality of life for rural seniors.

This study sought to develop recommendations for how to better integrate family caregivers into the health care team.

Nurse practitioners and physician assistants are associated with lower costs.

How staff composition affects care delivery for older adults.

A standardized tool to assess where along a continuum a program lies with regard to components of integration.