Resources

This resource describes a new model that moves high-need patients out of the emergency department and into a network of social supports.

Family caregivers play a foundational role in the care of older adults with complex needs and disabilities from both a health care and economic standpoint.

This resource describes a study of five plans that integrate LTSS into care.

This resource provides guidelines for implementing Special Supplemental Benefits for the Chronically Ill (SSBCI) in a manner that improves health care for chron

This resource provides a framework for understanding the nature and extent of integration in programs that integrate LTSS with medical care and behavioral health.

This resource analyzes preventable ED visits and identifies mechanisms for preventing them.

This resource highlights a variety of prevention-focused programs, initiatives and strategies (plays) focused on the opioid use epidemic.

This resource is a toolkit to help payers and providers understand how home-based primary care (HBPC) improves quality and reduces costs for seriously ill and home-limited o

This resource is a toolkit highlighting innovative care coordination strategies used by Medicare ACOs.

This resource is a toolkit for identifying patients with various physical, functional, emotional, social, and spiritual needs.

This resource builds on the seminal Home Alone study, the first national examination at how family caregivers manage medical and nursing tasks. Major findi

This resource, the Partnership Evaluation Tool, is intended to help organizations assess readiness to engage in successful value-based partnerships.