Resources

This resource describes a quasi-experimental study evaluating the effect of a transitional care program that involved rapid primary care follow-up

Family caregivers are a critical part of the home- and community-based workforce for people with serious illness.

This resource used national survey data from physician practices and ACOs, paired with qualitative interviews, to learn about home visiting programs.

This resource describes a randomized controlled trial to evaluate the effects of a case management intervention called V1SAGES (Vulnerable Patients in Primary Care: Nurse Ca

This resource describes an effort to apply a learning health systems approach to reducing ED utilization.

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

This resource describes four care management models that ACOs are using for individuals with complex needs.

This resource describes the 7-Day Pledge program to reduce readmissions by increasing access to timely primary care appointments after hospitalization.

This resource evaluates the impact of an interprofessional case conference approach in an academic primary care clinic.

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 identifies features of intensive outpatient programs that increase patient engagement.