COVID-19 Social Health Playbook Presents tools and tips frontline care management staff to address high-risk patients’ unmet social health needs during the COVID-19 pandemic. Implementation Tool October 2020
Evaluation of the Independence at Home Demonstration: An Examination of the First Five Years The Independence at Home demonstration showed mixed results for Medicare savings and utilization, but participating patients and caregivers reported high satisfaction with the home-based primary care that they received. Brief/Report March 2020
Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals A study of five programs identified key factors that support collaboration among community-based health and social services. Peer-Reviewed Article March 2016
The Health Resilience Program: A Program Assessment Health Resilience Specialists work with the patients to meet their personal health needs Case Example January 2016
Evaluation of the Medicaid Health Home Option for Beneficiaries with Chronic Conditions: Annual Report - Year Three This report presents the findings from the evaluation of Medicaid health homes, created as part of the Affordable Care Act. Brief/Report July 2015