Resources

This resource describes four care management models that ACOs are using for individuals with complex needs. Care management programs can involve creating patient care plans, coordinating care across...
This resource describes recent changes in Medicare Advantage (MA) and their implications for plans. The Centers for Medicare and Medicaid Services (CMS) has recently reinterpreted several key aspects...
This resource examines three innovative models for treating patients with serious illness, developed by third-party firms that contract with Medicare Advantage plans. The financing structure of...
This resource provides a summary of key components of the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, which was passed and signed on February 9, 2018...
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...
D-SNPs are a type of Medicare Advantage plan that serve beneficiaries enrolled in both Medicare and Medicaid. This resource is a technical assistance tool based on an analysis of D-SNP contracts in 13...
With major funding from the Affordable Care Act, the Center for Medicare and Medicaid Innovation (CMMI) is launching and evaluating several initiatives that change financial incentives to reward value...
This resource examines the characteristics and health care experiences of adults with high needs, defined as people with three or more chronic diseases and a functional limitation. (The data predate...
This resource examines health care spending and use of services among adults with high needs, defined as people who have three or more chronic diseases and a functional limitation. One in 20 US adults...