Medical Care at Home Comes of Age
Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.
Brief/Report
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Aligning Social and Health Care Services: The Case of Community Care Connections
Demonstrates that a program assisting older adults with complex needs in navigating medical and social services may lower acute care utilization.
Peer-Reviewed Article
Core Competencies for Frontline Complex Care Providers
Describes core competencies that convey the essential knowledge, skills, and attitudes of complex care practitioners and teams to improve care for people with complex needs.
Brief/Report
A Systematic Review of Intensive Outpatient Care Programs for High-Need, High-Cost Patients
Demonstrates that intensive outpatient care programs show promise in reducing utilization and costs and improving patient outcomes for high-need, high-cost populations.
Peer-Reviewed Article
Practice Considerations for Trauma-Informed Care at End of Life
Applying principles of trauma-informed care for patients at end of life.
Peer-Reviewed Article
Evidence and Implementation Tools for Community Health Worker Programs: A Brief Resource Review
Shares a diverse set of recent resources for health care organizations interested in developing or expanding community health worker programs.
Blog
August 2020
How Community Health Workers and Promotores Can Support Individuals with Complex Needs amid COVID-19
Explored opportunities for health systems and plans to work with CHW/Ps to support high-need individuals, with a focus on addressing the long-term impacts of the COVID-19 pandemic.
Webinar
Improving Care for High-Need, High-Cost Patients: The View from a Community Health Worker and a Social Worker
A community health worker and social worker from CareMore Health share their perspective on the importance of their roles in lowering costs and improving outcomes for high-need patients.
Blog
July 2020
Effects of a Standardized Community Health Worker Intervention on Hospitalization Among Disadvantaged Patients with Multiple Chronic Conditions: A Pooled Analysis of Three Clinical Trials
Using community health workers can reduce hospitalizations in high-risk patients.
Peer-Reviewed Article
Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults
Step-by-step guide with robust tools for health systems to apply the 4Ms framework to deliver age-friendly, evidence-based care for older adults.
Implementation Tool
Demonstrated Health Care Cost Savings for Women: Findings from a Community Health Worker Intervention Designed to Address Depression and Unmet Social Needs
CHW intervention reduced health care costs and utilization for low-income women with depression.
Peer-Reviewed Article
Embedding Social Workers In Veterans Health Administration Primary Care Teams Reduces Emergency Department Visits
Social workers on rural primary care teams may help decrease high-risk veterans’ acute care use.
Peer-Reviewed Article
Where is the Break-even Point for Community Health Workers? Using National Data and Local Programmatic Costs to Find the Break-even Point for a Metropolitan Community Health Worker Program
Community health worker programs can offset program costs through reduced utilization.
Peer-Reviewed Article
Impact of Complex Care Management on Spending and Utilization for High-Need, High-Cost Medicaid Patients
Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.
Peer-Reviewed Article
Beyond the Camden Coalition’s Randomized Controlled Trial: Lessons for the Complex Care Field on Addressing Patient Needs
Features David Labby, MD, health strategy advisor for Health Share of Oregon, who provides insights on the recently released report on Camden Coalition's randomized controlled trial on the Camden Core Model.
Blog
February 2020
Evidence-Based Community Health Worker Program Addresses Unmet Social Needs And Generates Positive Return On Investment
A community health worker program yielded an annual return of $2.47 for every dollar invested by a Medicaid payer.
Peer-Reviewed Article
Integrating Community Health Workers on Quality Improvement Teams: Lessons from the Field
Tips on integrating community health workers into quality improvement teams to address patients’ social needs.
Implementation Tool
A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care
Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.
Peer-Reviewed Article
ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients
Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.
Peer-Reviewed Article
Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
The value of community health workers in advancing health equity.
Brief/Report