September 2023

Using patient priorities and converting them into treatment goals result in better primary care outcomes for Medicare patients.

This article presents a descriptive review of a team-based care transformation model in a large primary care network, including core staffing, process improvement, and extended care teams.

This editorial describes several key lessons about the development of effective value-based care delivery.

The Accountable Health Communities Model facilitates multisector coordination. Implementation science elucidated the contextual factors that facilitated the use of this model in Arizona.

The authors’ multidisciplinary care management program shows promise, as the reduction in per-patient per-month spending was $116. However, these financial benefits took time to materialize.