Lessons Learned from the Transition from Volume to Value
Describes factors that support health care organizations in transitioning from volume- to value-based payment.
Peer-Reviewed Article
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Displaying 61 - 80 of 109
Association of Medicare Advantage Penetration with Per Capita Spending, Emergency Department Visits, and Readmission Rates Among Fee-for-Service Medicare Beneficiaries with High Comorbidity Burden
Growth in Medicare Advantage plans linked to decreased cost and utilization for high-need, high-cost fee-for-service Medicare beneficiaries with multiple chronic conditions.
Peer-Reviewed Article
Providing Primary Care to Homebound Patients: UCSF Health's Care at Home Program
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.
Case Example
Sustainable Financing of Community Health Worker Employment
A comprehensive overview of different funding approaches to sustainably finance CHW programs.
Brief/Report
A Pathway to Full Integration of Care for Medicare-Medicaid Beneficiaries
Recommended care models and policies to improve integrated care for dually eligible individuals at the state level.
Brief/Report
Designing a Home-Based Palliative Care Program
This toolkit shares business strategies, sample protocols, and best practice clinical tools for health care providers interested in developing a home-based palliative care program.
Implementation Tool
Serving People with Severe Mental Illness who are Dually Eligible for Medicare and Medicaid
Examines promising strategies to meet the needs of dually eligible individuals with serious mental illness, with an emphasis on opportunities to innovate with flexible spending within a capitated payment model.
Peer-Reviewed Article
Integrating Care for Dually Eligible Beneficiaries: Policy Issues and Options
Details the landscape of integrated care models and identifies policy recommendations to increase the availability of integrated care for dually eligible individuals.
Brief/Report
Integrating Care for Dually Eligible Beneficiaries: Background and Context
Summarizes the characteristics of dually eligible individuals, integrated care models, and available evidence on the impact of these models.
Brief/Report
Medicare Advantage Plans have a Unique Opportunity to Provide Needed Non-Medical, Health-Related Services During COVID-19
Explores opportunities for Medicare Advantage plans to provide non-medical supplemental benefits during COVID-19 — including in-home supports, meal and grocery deliveries, home modifications, and transitional supports — to help Medicare beneficiaries shelter at home.
Blog
May 2020
As It Grows, Medicare Advantage Is Enrolling More Low-Income and Medically Complex Beneficiaries
The proportion of low-income, frail, and medically complex individuals enrolled in Medicare Advantage is increasing.
Brief/Report
Medicare Advantage Supplemental Benefit Flexibilities: Adoption of and Access to Newly Expanded Supplemental Benefits in 2020
Analysis of expanded supplemental benefit adoption for Medicare Advantage enrollees
Brief/Report
Starting from Square One: Considerations for States Exploring Medicare-Medicaid Integration
Poses key questions to help states new to Medicare-Medicaid integration assess readiness for integration and select an achievable integration approach.
Brief/Report
Health Care Spending and Use Among People Experiencing Unstable Housing in the Era of Accountable Care Organizations
Individuals experiencing homelessness had health care spending 2.5 times higher than the comparison Medicaid population.
Peer-Reviewed Article
The New Post-Acute Care Management Solution for Complex Care Patients
Highlights how skilled nursing facilities are switching to the Patient Driven Payment Model — a payment system that removes therapy minutes as the basis for payment and enhances payment accuracy for services by making reimbursement dependent on a wide range of clinical characteristics.
Blog
November 2019
The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies
Highlights early findings demonstrating that Medicare-Medicaid integration can improve beneficiary experience and health outcomes, increase program efficiencies, and improve Medicaid program management.
Brief/Report
Building Blocks of Primary Care, Part 2: Better Between-Visit Care with Chronic Care Management
Our ability to effectively treat the growing number of individuals who live with multiple chronic diseases will remain compromised unless health systems explore innovative approaches.
Blog
October 2019
Expanded Flexibility in Medicare Advantage Supplemental Benefits
New flexibility for Medicare Advantage program represents a major turning point in Medicare policy and an opportunity for health insurers and providers to work together in new and more productive ways.
Blog
September 2019
Effects of a Population Health Community-Based Palliative Care Program on Cost and Utilization
A community-based palliative care program reduced medical costs, intensive care unit (ICU) admissions, hospital admissions, and days spent in the hospital for Medicare Advantage members with serious illness.
Peer-Reviewed Article
Your Role in Creating Stability and Quality for Patients in Post-Acute Care
For frail older adults with complex care needs, an inpatient hospital stay is destabilizing and often marks the beginning of a decline in functioning. For these older adults and their families, the post-hospital period is a risky, confusing, and stressful time.
Blog
August 2019