A New Hospitalist Model for Managing High-Cost, High-Need Patients
A hospitalist model for complex care.
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Displaying 281 - 300 of 345
PACE 2.0: A Prime Opportunity for Delivery Systems and Payers
The Program of All-Inclusive Care for the Elderly provides comprehensive, compassionate medical care and long-term services and supports to older adults with persistent complex needs who are eligible for nursing home care. Yet, PACE reaches less than two percent of those who could benefit from its services.
Blog
September 2018
Going Beyond Clinical Care to Reduce Health Care Spending
A regional approach to health care transformation.
Peer-Reviewed Article
Home: Perhaps the Most Important “Care Setting”
The program, known as Community Aging in Place — Advancing Better Living for Elders (CAPABLE), is a client-directed home-based intervention to increase mobility, functionality, and capacity to “age in place” for older adults.
Blog
June 2018
Caring for the Whole Person: Two Patient Stories in Complex Care Management
Effective complex care means first understanding the individual and the challenges they face in their day-to-day lives. Here are two stories of patients in the CareMore Touch program for people with institutional special needs.
Blog
May 2018
Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study
The psychological benefits of case management.
Peer-Reviewed Article
Impact of a Complex Chronic Care Patient Case Conference on Quality and Utilization
The case conference approach to caring for complex patients.
Peer-Reviewed Article
Active Redesign of a Medicaid Care Management Strategy for Greater Return on Investment: Predicting Impactability
This resource describes one tool to identify patients most likely to benefit from care management.
Peer-Reviewed Article
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare and Medicaid Beneficiaries
Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.
Peer-Reviewed Article
The Effects of Home-Based Primary Care on Medicare Costs at Spectrum Health/Priority Health from 2012-Present: A Matched Cohort Study
A home-based primary care program led to reduced medical costs for frail elderly patients, primarily due to lower spending at end-of-life.
Peer-Reviewed Article
Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals
Case studies of two community hospitals show how to advance accountable care.
Case Example
Use Human-Centered Design Methods to Develop Your Care Model
Describes how a human-centered design approach can help you develop a complex care program that addresses the realities of the people you serve.
Play
February 2018
Engage Stakeholders with a Storyboard
Describes how to implement, iterate, and sustain a complex care model through the use of storyboards that keep stakeholders engaged.
Play
February 2018
Care Ecosystem Toolkit
Details implementation guidance for the evidence-based Care Ecosystem model, which improves supports for people with dementia and their caregivers.
Implementation Tool
Managing Effectively in Complex Chronic Care Markets
This resource provides a road map for health plans to improve Medical Loss Ratio.
Peer-Reviewed Article
Are You Missing Opportunities to Improve Care for Older Adults?
Four key interventions are essential to create an age-friendly system of care. If care providers consistently do these four things for every older adult, every time, across care settings, we believe we will save lives and avoid harm.
Blog
January 2018
Operation and Challenges of Home-Based Medical Practices in the US: Findings from Six Aggregated Case Studies
Strategies for home-based primary care practices to improve efficiency and support program growth based on qualitative research.
Peer-Reviewed Article
Define the Care Management Team
Outlines how to develop a care team that can help control costs by allowing medical providers to work to the top of their license.
Play
November 2017
Integrate the Complex Care Program with Primary Care
Describes opportunities for how primary care providers and complex care programs can work together as one effective team.
Play
November 2017
Use a Scale-Up Grid to Plan for Implementation
Highlights how scale-up grids can help in identifying steps to take as you move from pilot to scale.
Play
November 2017