A Clinical Pathway to Well-Being: Putting Patient Priorities at the Center of Care A care management model designed to center patients’ health priorities shows promising results. Peer-Reviewed Article October 2023
Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs. Peer-Reviewed Article August 2023
Dosage and Outcomes in a Complex Care Intervention Implementation of a high-dose care management intervention for patients with complex health and social needs can reduce hospitalization rates. Peer-Reviewed Article June 2023
Complex Community Health and Social Care Interventions – Which Features Lead to Reductions in Hospitalizations for Ambulatory Care Sensitive Conditions? A Systematic Literature Review Primary care-based interventions that integrate community health and social care services can reduce the rate of avoidable hospitalizations. Peer-Reviewed Article December 2022
Impacts of Community-Based Care Program on Health Care Utilization and Cost Community-based care management programs for patients with complex health and social needs have the potential to reduce hospitalizations and inpatient costs. Peer-Reviewed Article April 2022
Health Care Hotspotting — A Randomized, Controlled Trial Randomized controlled trial of a care management intervention offers important lessons for the field of complex care. Peer-Reviewed Article January 2020
Going Beyond Clinical Care to Reduce Health Care Spending A regional approach to health care transformation. Peer-Reviewed Article July 2018
Bending the Spending Curve: The Role of Care Management in a Pioneer ACO ACOs have lowered costs for high-need patients through care management programs focused on modifiable spending. Peer-Reviewed Article May 2017
Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use Home visits can reach patients with complex needs before a higher level of care is needed Peer-Reviewed Article March 2017