Resources

For Medicaid beneficiaries, a lack of reliable transportation is a major barrier to receiving health care services. The NEMT benefit provides beneficiaries with transportation to and from medical...
Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked. Addressing this challenge may hold promise for reducing costs and promoting aging in...
This resource describes an analysis of a Massachusetts-based MIH-CP program called Acute Community Care (ACC), a pilot program of the Commonwealth Care Alliance. It assesses the business case for...
This resource examines Medicaid beneficiaries with disabilities who were hospitalized during 2003–2005 in order to identify opportunities to reduce hospital readmission rates in this population. The...
In 2013, the Center for Health Care Strategies, Inc., hosted a “Super-Utilizer Summit” to explore how Medicaid could promote models to improve care and lower costs for individuals whose complex needs...
This resource offers a structured improvement process for redesigning care for people with complex needs and high health care costs. This guide harvests the experience of over 200 organizations who...
This resource describes how to develop and implement a model called the Intensive Outpatient Care Program, which uses a multidisciplinary team-based approach to address medical, behavioral, and social...
This resource reviews the case for segmenting patients with complex needs and different ways of segmenting, as well as challenges and limitations. The high-need, high-cost population is heterogeneous...
This report explores key issues, spending implications, and existing barriers to meeting the needs of high-need, high-cost patients. It suggests policy options for a new federal administration to...
This resource examines reimbursement structures that serve beneficiaries who are dually eligible for Medicare and Medicaid. It also includes an analysis comparing care patterns for dual-eligible...
As the health care system shifts from a fee-for-service structure to value-based payment programs, it’s important to offer appropriate services across the continuum of care. This resource reviews...
This resource reviews strategies to identify patients who are likely to require high-cost care. The high-cost population is very heterogeneous, and segmentation strategies can inform population...