Having onsite care coordinators may significantly improve the quality of patient care, while centralized coordination is associated with increased information sharing.
A primary care practice redesigned its social needs screening and patient triage process to allow specialized staff to spend more time supporting patients with more intensive housing needs.
Community health worker interventions are effective for improving health behaviors and outcomes and reducing health care costs for people with chronic disease.
Features a conversation with Ateev Mehrotra, MD, MPH, professor of health care policy at Harvard Medical School, that explores opportunities to use value-based payment strategies to support telehealth for people with complex needs.
Primary care and alternative payment models that reduce emergency department use and increase access to care for high-need populations share core components for success.
This case study highlights an accountable care organization’s home-based primary care program for homebound older adults, with early analysis of outcomes showing reduced acute care utilization.
Systematic review demonstrates the potential of home-based primary care interventions for improving heath, cost, and patient experience outcomes for adults with multiple chronic conditions and serious disabilities.