A tool for assessing readiness for value-based partnerships.

Improving communication with patients with advanced cancer

A communication enhancement program improves frequency, quality, and documentation of serious illness conversations between oncology clinicians and patients with advanced cancer.

Practical strategies for health plans and ACOs to improve care for patients with serious illness.

Care model that integrates home-based primary care and palliative care for patients with serious illness reports reduced health care utilization and improved patient care experience.

An in-depth overview of different personas.

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

Multiple factors, including geographic variation in available resources, may limit take-up among MA plans of new benefit flexibilities.

Accountable Care Organization leaders explore approaches to segmenting high-need, high-cost populations.

A practical guide for payers to create a home-based palliative care program centered upon a value-based case example from a payer’s perspective.

Predictive modeling to reduce ED utilization.

Telehealth interventions had similar outcomes to in-person care for different services and populations, but did not consistently impact utilization such as physician or emergency department visits.

This resource outlines the current state of complex care and recommendations for the future.

An analysis of the National Survey of ACOs

Mixed evidence for efforts to reduce rehospitalizations.

This resource describes how academic medical centers can reshape the health system for patients with complex needs.

A hospitalist model for complex care.

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

A regional approach to health care transformation.

An international analysis of high-cost patients.