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
Connecting Provider to Home: A Home-Based Social Intervention Program for Older Adults Home-based program provided by a community health and social worker reduces acute care use and improves care for older adults with complex health and social needs. Peer-Reviewed Article March 2021
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 February 2020
Outpatient Complex Case Management: Health System-Tailored Risk Stratification Taxonomy to Identify High-Cost, High-Need Patients Maximizing the impact of outpatient complex case management. Peer-Reviewed Article November 2018
Home-Based Care Program Reduces Disability and Promotes Aging in Place Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked. Peer-Reviewed Article September 2016
House Calls: California Program For Homebound Patients Reduces Monthly Spending, Delivers Meaningful Care A novel approach to home visiting delivers cost reduction and better care Peer-Reviewed Article January 2016