Displaying 101 - 115 of 115

Challenges and Opportunities in Caring for High-Need, High-Cost Medicare Patients

Analysis of care models that serve Medicare-only individuals detailing policy barriers to providing uncovered services and supports and proposed strategies to address them.

Brief/Report

February 2017

Medicaid Managed Care Best Practices Compendium

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

Brief/Report

January 2017

Nursing Student Coaches for Emergency Department Super Utilizers

Nursing students successfully coach patients with complex needs to avoid ED use.

Peer-Reviewed Article

January 2017

How High-Need Patients Experience Health Care in the United States

This 2016 survey reveals that the health care system is failing people with complex needs

Brief/Report

December 2016

The Return on Investment (ROI) Calculator: The Business Case and Person-Centered Care

A calculator that can help build and present business case for serving adults with complex needs.

Implementation Tool

November 2016

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

Experts describe how delivery systems can effectively serve adults with complex needs.

Brief/Report

September 2016

Payment to Promote Sustainability of Care Management Models for High-Need, High-Cost Patients

Provider incentives must be based on Triple Aim outcomes.

Brief/Report

May 2016

Taxonomy of Long-Term Services and Supports Integration

A standardized tool to assess where along a continuum a program lies with regard to components of integration.

Implementation Tool

April 2016

So Many Options, Where Do We Start? An Overview of the Care Transitions Literature

A systemic review of transitional care interventions reporting hospital readmission

Peer-Reviewed Article

March 2016

Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals

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

Peer-Reviewed Article

March 2016

Developing Care Management Programs to Serve High-Need, High-Cost Populations

Care management programs should include processes for evaluating patient-reported outcomes.

Brief/Report

February 2016

The Health Resilience Program: A Program Assessment

Health Resilience Specialists work with the patients to meet their personal health needs

Case Example

January 2016

Overview of Segmentation of High-Need, High-Cost Patient Population

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

Implementation Tool

January 2016

Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs

Key opportunities include strengthening information technology connections across service providers.

Brief/Report

September 2015

Proactively Identifying the High-Cost Population

Segmenting the high-cost population is the first step in matching appropriate care management strategies.

Brief/Report

July 2015

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Challenges and Opportunities in Caring for High-Need, High-Cost Medicare Patients

Medicaid Managed Care Best Practices Compendium

Nursing Student Coaches for Emergency Department Super Utilizers

How High-Need Patients Experience Health Care in the United States

The Return on Investment (ROI) Calculator: The Business Case and Person-Centered Care

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

Payment to Promote Sustainability of Care Management Models for High-Need, High-Cost Patients

Taxonomy of Long-Term Services and Supports Integration

So Many Options, Where Do We Start? An Overview of the Care Transitions Literature

Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals

Developing Care Management Programs to Serve High-Need, High-Cost Populations

The Health Resilience Program: A Program Assessment

Overview of Segmentation of High-Need, High-Cost Patient Population

Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs

Proactively Identifying the High-Cost Population