Using “equity weighting” may improve quality measurement efforts intending to advance health equity for underserved groups.

A home-based primary care program for homebound older adults leads to reductions in health care utilization and overall cost savings.

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

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.

This description and application of a valid and reliable measure of equity of inpatient hospital experiences can help hospitals collect better data to meaningfully promote high-quality equitable care.

This guide describes key strategies for health plans, accountable care organizations, and health systems to improve care for people with serious illness.

Describes the core elements and evidence base behind a home- and community-based palliative care model that was designed by stakeholders to support the health needs of people with serious illness.

Explored how complex care stakeholders can incorporate a multi-factor approach to measure and demonstrate the value of complex care programs for diverse stakeholders.

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

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.

This resource is an updated quick reference guide to promising models for people with complex needs.

A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

This resource describes how MA could lead the way in diffusing new care and payment models.

A brief summarizes what you need to know about the new Chronic Care Act.

This framework can help you design programs for patients with serious illnesses.

Describes the needs of distinct subpopulations within the dually eligible population with highly complex needs, along with opportunities for tailored interventions that may reduce health care spending.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.

This resource collects the most innovative initiatives in Medicaid managed care that emerge each year.

A home-based palliative care program using an interdisciplinary care team reduces hospital costs and unnecessary health care utilization for Medicare Advantage beneficiaries.