Beyond the Camden Coalition’s Randomized Controlled Trial: Lessons for the Complex Care Field on Addressing Patient Needs
This blog post features a national complex care leader providing insights on the recently released report on Camden Coalition's randomized controlled trial on the Camden Core Model.
Pathways for Integrating Social Care into Health Care Delivery: A Conversation with IHI’s Kedar Mate
To learn more about the recently released NASEM report on ways to integrate social care into health care delivery, the Better Care Playbook spoke with Kedar Mate, MD, Chief Innovation and Education Officer at the Institute for Healthcare Improvement, who served on the NASEM expert committee.
This blog post highlights, COACH, a new framework that Camden Coalition utilizes to build authentic relationships with patients and to increase patient engagement.
Using Asset Maps to Match Community Supports for Patients with Complex Care Needs: An Interview with the Camden Coalition’s Lauran Hardin
This blog post features a conversation with Lauran Hardin, Senior Advisor of Partnerships and Technical Assistance at Camden Coalition, who explores the use of asset mapping to build stronger ecosystems of care, address the root causes of repeated hospital utilization, and improve care delivery for individuals with complex health and social needs.
Building Shared Outcomes with Community-Based Organizations: Navigating Challenges to Address Social Needs
This blog post features a conversation with Victor Murray, Director of Field Building and Resources for the Camden Coalition of Healthcare Providers, explores the tension between health systems and community-based organizations and discusses strategies for successfully navigating it.
Forging Health Care and Social Service Partnerships through Data Sharing: The Camden Coalition Health Information Exchange
This blog post explores the Camden Coalition of Healthcare Providers’ Health Information Exchange, a web-based application that gives providers across health systems real-time access to medical information for patients with complex needs.
The challenge of managing Medicare patients with multiple health conditions is familiar to most providers. According to recent data from the Centers for Medicare and Medicaid Services (CMS), two-thirds of Medicare patients have two or more chronic conditions. Establishing treatment guidelines for every condition and for every patient is challenging for a multitude of reasons. A recent study estimated that 37 percent of the average family physician’s time is spent on chronic care, with the balance on acute or preventive care. For Medicare patients, it may be even higher.
New flexibility for Medicare Advantage (MA) program represents a major turning point in Medicare policy and an opportunity for health insurers and providers to work together in new and more productive ways.
For frail older adults with complex care needs, an inpatient hospital stay is destabilizing and often marks the beginning of a decline in functioning. For these older adults and their families, the post-hospital period is a risky, confusing, and stressful time. Providers, payers, hospitals and health systems should look for ways to innovate their care delivery models and to manage and improve care for their patients.
Building Blocks of Robust Primary Care Delivery, Part 1: Moving from Reactive to Proactive Care with the Annual Wellness Visit
The time constraints of the typical primary care practice often do not allow providers to take a comprehensive look at all of their patients’ needs each year. Getting to the bottom of the checklist of preventive screenings and evaluating all ongoing chronic care needs simply takes time. Enabling office staff to assist in this work, under the direction of the supervising provider, presents a tremendous opportunity to create a patient-centered and comprehensive care plan that matches each patient’s unique needs and desires.
From continued enrollment growth to expanded flexibility to offer non-medical supplemental benefits, Medicare Advantage (MA) plans are playing an increasingly important role in the lives of older adults.