Website offers a qualitative database of personal narratives to support providers and policymakers in designing policies that better reflect the lived experience, needs, and priorities of older adults.

A home-based palliative care program leads to reductions in hospitalizations and total cost of care, along with an increase in the use of hospice care.

Using “equity weighting” may improve quality measurement efforts intending to advance health equity for underserved groups.

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

Including spiritual care within care management programs in outpatient, managed care, and population health settings can enhance patient care and support the effectiveness of the interdisciplinary care team.

This guide describes key strategies for health plans, accountable care organizations, and health systems to improve care for people with serious illness.

Describes the core elements and evidence base behind a home- and community-based palliative care model that was designed by stakeholders to support the health needs of people with serious illness.

Explored how complex care stakeholders can incorporate a multi-factor approach to measure and demonstrate the value of complex care programs for diverse stakeholders.

Home-based palliative care providers explore key facilitators and barriers to effectively delivering care within a value-based payment environment.

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

Home-based palliative care program implemented within an accountable care organization created cost savings through reduced hospital admissions and increased hospice length of stay.

Describes factors that support health care organizations in transitioning from volume- to value-based payment.

Medicare patients with the top five percent in preventable utilization account for almost half of all avoidable Medicare costs.

This toolkit shares business strategies, sample protocols, and best practice clinical tools for health care providers interested in developing a home-based palliative care program.

How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations.

A set of resources and strategies to help health care stakeholders foster authentic, effective community engagement that drives local policy and program change.

How ACOs are addressing serious illness.

This case study analyzes a successful example of a medical group partnering with a home health agency to provide community-based palliative care for high-risk members of their accountable care organization.