Resources

This resource describes a new model that moves high-need patients out of the emergency department and into a network of social supports. Regional One Health, a large health system in Tennessee, has...
This resource is a toolkit to help payers and providers understand how home-based primary care (HBPC) improves quality and reduces costs for seriously ill and home-limited older adults. HBPC providers...
This resource provides guidance for state leaders in establishing and advancing complex care programs. Since 2013, the National Governors Association Center for Best Practices (NGA Center) Health...
This resource describes successful Canadian programs working with inner-city communities to achieve the Triple Aim. It includes descriptions of the programs’ structures and outcomes, factors that...
This resource is a toolkit that describes strategies for states to reform their Medicaid LTSS systems. Medicaid is the leading payer for LTSS systems, which enable more than 12 million people to meet...
This resource describes the author’s changed understanding of the role of the health system in helping people with complex needs, sparked by an encounter with a vulnerable patient. The author, a nurse...
The Massachusetts Health Policy Commission's Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program has engaged 25 community hospitals to advance readiness for...
​​​​ This resource describes a program in New Mexico that employs community health workers (CHWs) to address social determinants of health, as well as how that program was implemented and spread. CHWs...
This resource is a case study of CareMore, a Medicare Advantage plan and medical provider based in Cerritos, California, that serves 130,000 enrollees in Medicare and Medicaid managed care plans...
This resource summarizes a descriptive study of the Health Resilience Program (HRP) in Oregon, a program designed to address the needs of high-risk Medicaid and Medicare patients and reduce costs. In...
This resource provides an in-depth look at the Stanford Coordinated Care Primary Care Practice (SCC), which delivers primary care to Stanford University employees and their dependents who have complex...
This resource provides an overview of trauma-informed care, mainly through a webinar presentation from two organizations that practice it: CareOregon in Oregon, and Camden Coalition of Healthcare...