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Displaying 221 - 240 of 329
Health Care Transformation Task Force Value Partnership Evaluation Tool
A tool for assessing readiness for value-based partnerships.
Implementation Tool
Strengthening Medicaid Long-Term Services and Supports: A Toolkit for States
This resource explains how states can improve their Medicaid LTSS systems.
Implementation Tool
Targeting High-Need Beneficiaries in Medicare Advantage: Opportunities to Address Medical and Social Needs
Medicare Advantage plans should identify patients based on medical and social risk factors, not just medical diagnoses.
Brief/Report
A Multisite Case Study of Caregiver Advise, Record, Enable Act Implementation
Describes how a health system can adapt workflow, roles and responsibilities, and communication to engage family caregivers in care transitions and comply with CARE Act requirements.
Peer-Reviewed Article
Quick Reference Guide to Promising Care Models
This resource is an updated quick reference guide to promising models for people with complex needs.
Brief/Report
Using Health Homes to Integrate Care for Dually Eligible Individuals: Washington State’s Experiences
Case study explores the unique structure of Washington State’s demonstration under the federal Financial Alignment Initiative, including summary of results to date.
Case Example
Are Medicare Advantage Plans Using New Supplemental Benefit Flexibility to Address Enrollees’ Health-Related Social Needs?
Multiple factors, including geographic variation in available resources, may limit take-up among MA plans of new benefit flexibilities.
Brief/Report
How Accountable Care Organizations Use Population Segmentation to Care for High-Need, High-Cost Patients
Accountable Care Organization leaders explore approaches to segmenting high-need, high-cost populations.
Brief/Report
Dedicated to the Mission: Strategies US Department of Veterans Affairs Home-Based Primary Care Teams Apply to Keep Veterans at Home
Fostering a culture of caring for veterans takes interdisciplinary teams focused on comprehensive, trusting and reliable relationships through open and frequent communication and ongoing education.
Peer-Reviewed Article
The Biggest Value is Getting the Voice of the Member: An Exploration of Consumer Advisory Councils within Medicare-Medicaid Plans Participating in the Financial Alignment Initiative
Provides lessons on the function and impact of health plan Consumer Advisory Councils from Medicare-Medicaid Plans in capitated model demonstrations under the Financial Alignment Initiative.
Brief/Report
A New Approach to Integrating Care for Dually Eligible Beneficiaries: Idaho’s Medicare Medicaid Coordinated Plan
Idaho's innovative Medicare Medicaid Coordinated Plan offers valuable lessons for states nationwide.
Case Example
Towards a Learning Health System to Reduce Emergency Department Visits at a Population Level
Predictive modeling to reduce ED utilization.
Peer-Reviewed Article
The Current State of Telehealth Evidence: A Rapid Review
Telehealth interventions had similar outcomes to in-person care for different services and populations, but did not consistently impact utilization such as physician or emergency department visits.
Peer-Reviewed Article
Blueprint for Complex Care: Advancing the Field of Care for Individuals with Complex Health and Social Needs
This resource outlines the current state of complex care and recommendations for the future.
Implementation Tool
How ACOs Are Caring for People with Complex Needs
An analysis of the National Survey of ACOs
Brief/Report
Interventions for Frequently Hospitalized Patients and Their Effect on Outcomes: A Systematic Review
Mixed evidence for efforts to reduce rehospitalizations.
Peer-Reviewed Article
Academic Medical Centers and High-Need, High-Cost Patients: A Call to Action
This resource describes how academic medical centers can reshape the health system for patients with complex needs.
Peer-Reviewed Article
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