Resources

This resource is a guide for payer and provider organizations to invest in social determinants of health (SDOH) and integrate them into their core business model. Few health care organizations have...
This resource shares 10 questions that California’s Medicaid managed care plans are now required to ask patients about their social and functional needs. These questions could serve as a model for...
This resource offers a rigorous review of the literature to identify the relationship between context, mechanism, and outcome in integrated care programs for older adults with multiple chronic...
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 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 report is a compendium of five case studies that describe lessons learned from implementing innovative interprofessional education (IPE) approaches at the Veterans Health Administration (VHA). In...
This resource describes the background, strategy, and design of the Creating Age-Friendly Health Systems initiative. In November 2015, The John A. Hartford Foundation determined that a social movement...
Since 2015, the Peterson Center on Healthcare has been working to improve the quality and lower the cost of care for high-need, high-cost patients. This resource provides a summary of what has been...
This resource, the Accountable Care Atlas, is intended to help health care delivery systems identify and prioritize the competencies needed under risk-based payment. Experts agree that value-based...
This resource describes a collaboration between the Cherry Health Durham Clinic (CHDC) and Mercy Health Saint Mary’s (MHSM), which treated an overlapping population of patients with complex needs...
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 the findings of the International Experts Working Group on Patients with Complex Needs. The Commonwealth Fund established this group in 2014 to outline the components of a high...