Understand emerging evidence and best practices for implementing community engagement interventions to better meet community needs and improve health equity.
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Displaying 1 - 20 of 103
This webinar will feature representatives from Medicaid agencies in California, Iowa, and Tennessee, who will discuss how they are building the Medicare knowledge needed to successfully advance integrated Medicare-Medicaid programs.
Webinar
Beneficiary Experience of Care by Level of Integration in Dual Eligible Special Needs Plans
Dual eligible beneficiaries in Virginia with integrated special needs plans reported lower out-of-pocket spending and greater plan satisfaction.
Peer-Reviewed Article
Differences in Healthcare Utilization Between Enrollees of Fully Integrated Dual Eligible Special Needs Plans Versus Non-Fully Integrated Plans
Fully integrated dual eligible plans were associated with improved care outcomes for certain subpopulations of dually eligible older adults.
Peer-Reviewed Article
Socioeconomic Factors Associated with Uptake and Satisfaction with a Post-Hospitalization Meals Benefit in Medicare Advantage
A post-hospitalization supplemental home-delivered meals benefit saw significant uptake and high satisfaction among Medicare Advantage members with greater financial or food insecurity.
Peer-Reviewed Article
Bridging the Home-Based Primary Care Gap in Rural Areas
Interdisciplinary care teams, telehealth, and flexible payment models are included as key recommendations to increase access to home-based primary care in rural communities.
Brief/Report
Effect of Discharge Readiness on 30-Day Readmissions Among Older Adults Living with Chronic Conditions
Nurse assessments of discharge readiness for older patients with multiple chronic conditions can help identify patients at high risk for hospital readmission.
Peer-Reviewed Article
Medicare-Medicaid Integrated Care Programs
Curates evidence behind three fully integrated care program models for people who are dually eligible for Medicare and Medicaid, as well as practical strategies that support effective implementation of these programs.
Collection
December 2023
Changes in Care Associated with Integrating Medicare and Medicaid for Dual-Eligible Individuals
Fully integrated dual-eligible special needs plans increase the use of home- and community-based services, but have limited impact on inpatient and emergency department visits and length of nursing home stays.
Peer-Reviewed Article
Improving Nursing Home Care Quality
Curates evidence on improving nursing home care quality and explores practical tools that support effective implementation of care and services that are more person-centered and improve outcomes for nursing home residents.
Collection
November 2023
Telehealth Outcomes and Impact on Care Delivery: A Review of Evidence
Report summarizes the evidence on outcomes for patients participating in various telehealth delivered services, including different modalities, such as telephone and video.
Brief/Report
Medicare Care Choices Model Improved End-of-Life Care, Lowered Medicare Expenditures, and Increased Hospice Use
Medicare model allowing concurrent coverage of hospice care and treatment improves end-of-life care and reduces total costs.
Peer-Reviewed Article
Community-Based Organization Services Evidence Bank
Curated collection of research studies highlights the efficacy of services provided by community-based organizations, with a focus on outcomes relevant to health care partners.
Website/Resource Center
Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program
An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.
Peer-Reviewed Article
Scaling Primary Care Social Needs Screening and Referrals in New York City’s Safety-Net Health System
An overview of NYC Health + Hospital’s implementation of a primary care-based social needs screening and referral program, including key implementation challenges and success factors.
Case Example
Can a Home‑Based Collaborative Care Model Reduce Health Services Utilization for Older Medicaid Beneficiaries Living with Depression and Co‑occurring Chronic Conditions? A Quasi‑experimental Study
Home-based collaborative care models (CCMs) can reduce health services utilization for low-income older adults living with depression.
Peer-Reviewed Article
A Pilot Randomized Controlled Trial of CAPABLE in Permanent Supportive Housing for Formerly Homeless Adults
Randomized controlled trial of a person-centered housing intervention for older adults shows improved health outcomes for formerly homeless adults living in permanent supportive housing.
Peer-Reviewed Article
Community Health Worker Programs in Primary Care
Curates recent evidence behind community health worker programs that support people with complex health and social needs, as well as practical strategies to support effective implementation of these programs.
Collection
April 2023
Evaluating a Care Management Program for Dual-Eligible Beneficiaries: Evidence from Rhode Island
Community health worker-led program associated with reduced acute care utilization and lower Medicaid and total costs for dually eligible individuals.
Brief/Report
The Role of Community Health Workers in the Health and Well-Being of Vulnerable Older Adults During the COVID-19 Pandemic
A telephone-based community health worker program offered critical supports for older adults during the COVID-19 pandemic.
Peer-Reviewed Article