Embedding a health navigator in a senior housing community improved residents’ sense of physical, mental, and social well-being.

A care management model designed to center patients’ health priorities shows promising results.

A multi-sector collaboration in California that included community members improved organizational partnerships and create systems change.

A home-based primary care program for homebound older adults leads to reductions in health care utilization and overall cost savings.

A street medicine program increased post-hospitalization follow-up care for unsheltered individuals experiencing homelessness in Los Angeles.

Care coordination services in primary care clinics are shown to reduce avoidable hospitalizations among persons living with dementia.

Clients enrolled in an adapted assertive community treatment model in California identify material resources and relational supports as key program benefits.

A telehealth addiction consult service program for hospitalized patients with substance use disorders is as effective as in-person consults.

Rethinking eligibility, beyond cost and utilization, offers a more equitable approach to identify high-need individuals for care management.

California leveraged Medicaid waiver authority to cover targeted pre-release services with the goal of improving the health of people reentering the community after incarceration.

Randomized controlled trial of a person-centered housing intervention for older adults shows improved health outcomes for formerly homeless adults living in permanent supportive housing.

A substance use navigator program embedded in emergency departments of an urban health system increased rates of treatment engagement post-discharge.

A hospital successfully integrated a harm reduction services intervention for patients whose substance use goals did not include abstinence.

A validated predictive model for health care stakeholders to better identify and address homelessness and its related outcomes.

Well-designed bidirectional community and referral pathways may help bridge the community-clinic divide.

A health plan-led telepsychiatry program for older adults can address the shortage of psychiatrists to improve outcomes related to depression and access to mental health care.

A patient intervention that supported outpatient addiction treatment with destigmatized conversations about substance use between patients and primary care providers showed long-term benefits.

Featured presenters with on-the-ground experience implementing the CA Bridge model for individuals with substance use disorder.

Study details permanent supportive housing program implementation and how this impacts outcomes and costs.