Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.
Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations.
Integrating medical, behavioral health, and social services data tells a fuller story of frequent emergency department users’ service utilization and may identify candidates for care coordination.
A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.
When identifying patients with complex health needs for interventions, algorithms that rely on cost data as a proxy for health status may lead to under-identification of Black patients.
Permanent supportive housing programs with a “Housing First” approach can improve health outcomes and reduce acute care use for people experiencing homelessness with disabling conditions.
Includes national survey data on family caregivers and their experiences in managing complex medical and nursing tasks for their family members at home, as well as recommendations to improve the supports for family caregivers.
Details how dually enrolled beneficiaries have significantly higher levels of comorbidities and higher costs of care than their non-dually enrolled counterparts.