Resources

This resource offers a clinical vignette highlighting the challenges of caring for persons with complex needs, followed by descriptions of two approaches for managing these populations, and finally...
This resource offers a description and evaluation of House Calls, a well-established program in Southern California that provides home-based care for high-risk frail and homebound older adults. House...
This resource provides a systematic review of transitional care interventions that reported hospital readmission as an outcome. Transitional care is a set of actions designed to ensure the...
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...
Telemedicine has the potential to expand access to acute illness care and prevent ED visits for older adults. This resource describes a study assessing a high-intensity telemedicine program for older...
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’ needs...
This resource explores the value of five different home visit program models. Home visits offer a way to reach high-risk, high-needs patients before a higher level of care is needed, thereby reducing...
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 analyzes nationwide 2014 ED data across 13 geographically dispersed US states. Findings include: For ED visits covered by Medicaid, high-need, high-cost patients were on average older...
Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked. Addressing this challenge may hold promise for reducing costs and promoting aging in...
This resource describes an analysis of a Massachusetts-based MIH-CP program called Acute Community Care (ACC), a pilot program of the Commonwealth Care Alliance. It assesses the business case for...
This resource analyzes a number of specific care models that serve Medicare-only individuals and enumerates five main policy barriers and potential strategies to address these barriers. The specific...