This resource describes a new model that moves high-need patients out of the emergency department and into a network of social supports.
Based on a review of the evidence, the Quick Reference Guide to Promising Care Models offers summary information on 2
This resource describes a promising new hospitalist model for inpatient treatment of complex care patients.
Throughout the country, efforts are increasingly emerging to integrate social services into health care systems.
This resource shares 10 questions that California’s Medicaid managed care plans are now required to ask patients about their social and functional needs.
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
The Massachusetts Health Policy Commission's Community Hospital Acceleration, Revitalization, and Transformation (CHART) investment program has engaged 25 community hospitals to a
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.
This resource proposes a framework to help guide the development of programs for populations with complex needs.
This resource examines Medicaid payment reform strategies for populations who receive LTSS. It includes case studies of state programs in Tennessee, Minnesota, and Arizona.
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 ac
The Commonwealth Fund surveyed patients with complex needs from June to September of 2016, and an analysis of the results reveals that the health care system is failing to meet these patients’ need
Find curated resources about promising approaches to improving care for people with complex needs.
22 Practical Plays