A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals.

California is asking Medicaid patients these ten questions about social and functional needs.

A brief summarizes what you need to know about the new Chronic Care Act.

Describes the needs of distinct subpopulations within the dually eligible population with highly complex needs, along with opportunities for tailored interventions that may reduce health care spending.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.

CareMore’s business model identifies high-risk patients and surrounds them with coordinated services

This resource collects the most innovative initiatives in Medicaid managed care that emerge each year.

Dual-eligible beneficiaries are often more sick, have greater functional and cognitive impairments, and require more care coordination.

Improving care for high-need, high-cost patients is a key lever to decrease national health spending.

The program offers a lower-cost alternative to the hospital for patients who can be safely treated at home.

Provider incentives must be based on Triple Aim outcomes.

Successful long-term services and supports programs have a single point of accountability, such as a care manager.

A study of five programs identified key factors that support collaboration among community-based health and social services.

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.

Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.

In nursing homes, replacing on-call physician services during off-hours with direct contact via telemedicine may reduce Medicare spending through fewer avoidable hospitalizations.