Resources

This resource identifies challenges faced by older adults from racial and ethnic minorities, and proposes several strategies to address them.

This resource is a study evaluating an alternative in-hospital assessment to determine the need for continuing care after discharge.

This resource is a study undertaken to understand the experiences of older adults living in community settings with multiple chronic conditions.

This resource provides an evaluation of a health system’s outpatient complex case management (OPCM) program and examines whether OPCM lowers service utilization and he

This resource assesses the characteristics and health care utilization of high-cost patients and compares high-cost patients across payers and countries, based on a systemat

This resource describes a study assessing the effects of patient activation and engagement strategies on patient-reported outcomes for patients with diabetes and/or cardiovascular

This resource analyzes the drivers of cost for Medicare-Medicaid beneficiaries, particularly looking at the differences between persistent and transient high costs.

This resource features a recording of a WIHI audio program from the Institute for Healthcare Improvement, which featured Better Care Playbook faculty, including R.

This resource describes observations about root causes of high care utilization that emerged from a four-year intervention in a large population of patients with complex needs.

A retrospective cohort study examined the health care utilization of a group of patients in Memphis, Tennessee who met the enrollment criteria for the SafeMed Program, a care transitions program fo

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This resource reviews the case for segmenting patients with complex needs and different ways of segmenting, as well as challenges and limitations.

This resource explores how measuring patients’ activation levels can help identify those individuals at higher risk for poor health outcomes and utilization of avoidable costly care.