High-Need, High-Cost Segmentation Framework Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs. Implementation Tool October 2021
Implementing Best Practices in Dementia Care Clinical tools, training resources, and case studies of evidence-based care models that support people living with dementia and their caregivers. Implementation Tool June 2020
Person-Centered Engagement at the Organizational Level Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations. Implementation Tool January 2020
Identifying and Designing the Right Care Management Program: Insights from ACOs Four care management models for ACOs. Implementation Tool April 2019
The ROI Calculator for Partnerships to Address the Social Determinants of Health A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations. Implementation Tool August 2018
Accountable Care Atlas: A Development Guide for Competency Implementation This resources describes the competencies organizations need to transition to value-based payment. Implementation Tool November 2017
Taxonomy of Long-Term Services and Supports Integration A standardized tool to assess where along a continuum a program lies with regard to components of integration. Implementation Tool April 2016
Overview of Segmentation of High-Need, High-Cost Patient Population There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework. Implementation Tool January 2016