Skip to main content
Home Playbook

Utility Nav

  • Email Signup
  • About
  • Webinars
  • Twitter

Main navigation

  • What Is Complex Care?
    • Overview
    • Who are adults with complex needs?
    • Why rethink care for this population?
    • What are the features of complex care?
    • What is the complex care business case?
    • What evidence supports complex care?

    Get Started Exploring Resources

    Access our library of articles, tools, case examples, and more on what works in complex care
  • Find Resources by Topic
    • Complex Care Interventions
    • Mental Health & Substance Use
    • Long-Term Services & Supports
    • Serious Illness & Palliative Care
    • Population Identification
    • Interdisciplinary Care Teams
    • Patient & Family Engagement
    • Health-Related Social Needs
    • Health Equity
    • Program Financing
    • Payment & Managed Care Models
    • Medicare-Medicaid Integration
    • View all resources »
  • Perspectives on Better Care Blog

All Resources

Topics

  • Complex Care Interventions (3)
    • Care Management (1)
    • (-) Transitional Care (3)
  • Interdisciplinary Care Teams (1)
  • Payment & Managed Care Models (1)
    • Accountable Care Organization (1)

Populations

  • Adults Under 65 with Disabilities (1)
  • (-) Frail Older Adults (3)
  • People with Multiple Chronic Conditions (3)
  • People with Serious Behavioral Health Needs (1)

Audiences

  • (-) Accountable Care Organizations (3)
  • Health Plans and Payers (1)
  • Medicare Advantage Plans (1)
  • Providers and Health Systems (2)

Content Types

  • Case Example (1)
  • Implementation Tool (1)
  • Peer-Reviewed Article (1)

State

Displaying 1 - 3 of 3

Transition to Home: Rapid Scaling of a Multistate Readmission Prevention Program for Advanced Alternative Payment Model Participants

A "virtual-first" transitional care program with an interdisciplinary care team can support reduced readmissions.
Case Example
June 2022

‘Eyes in The Home’: ACOs Use Home Visits to Improve Care Management, Identify Needs, And Reduce Hospital Use

How home visits are used by ACOs to improve care, lower costs.
Peer-Reviewed Article
June 2019

The Care Transitions Intervention

The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.
Implementation Tool
November 2016

Get Updates on What Works in Complex Care

Playbook e-alerts offer the latest on leading-edge efforts to improve care.

Subscribe Now
Center for Health Care Strategies

 The Playbook is managed and led by the 
 Center for Health Care Strategies
.

Footer Utility Menu

  • About the Playbook
  • What Is Complex Care?
  • Perspectives on Better Care Blog
  • Webinars
  • Share Your Success
  • Contact Us

Resources by Topic

  • Complex Care Interventions
  • Mental Health & Substance Use
  • Long-Term Services & Supports
  • Serious Illness & Palliative Care
  • Population Identification
  • Interdisciplinary Care Teams
  • Patient & Family Engagement
  • Health-Related Social Needs
  • Health Equity
  • Payment & Managed Care Models
  • Program Financing
  • Medicare-Medicaid Integration

The Playbook is made possible by Arnold Ventures, The Commonwealth Fund, The John A. Hartford Foundation, the Milbank Memorial Fund, Peterson Center on Healthcare, the Robert Wood Johnson Foundation, and The SCAN Foundation. Learn More

© 2024 Center for Health Care Strategies.
All rights reserved.