A care management model designed to center patients’ health priorities shows promising results.

An interdisciplinary care management program for Medicare patients at increased risk of hospitalization demonstrates a positive return on investment.

Community health worker-led program associated with reduced acute care utilization and lower Medicaid and total costs for dually eligible individuals.

A health-plan-administered telehealth care coaching intervention led to long-term cost savings as well as increased behavioral health service use for adults with behavioral health needs and a history of high utilization.

Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.

Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.

Home-based program provided by a community health and social worker reduces acute care use and improves care for older adults with complex health and social needs.

Home-based intensive care model for Medicaid and dually eligible enrollees with complex needs led to positive health outcomes and reduced acute care spending, particularly for individuals with a behavioral health diagnosis.

Highlighted lessons from two recent studies to help guide future program and measurement approaches for complex care management interventions.

Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.

Details how two health plans in California developed programs to transition dually eligible members from institutional settings back into their communities.

Maximizing the impact of outpatient complex case management.

CareMore’s business model identifies high-risk patients and surrounds them with coordinated services

Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked.

A novel approach to home visiting delivers cost reduction and better care