How ACOs are addressing serious illness.

How home visits are used by ACOs to improve care, lower costs.

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.

Four care management models for ACOs.

Includes case studies, clinical assessment tools, and other resources for identifying and assessing the needs of patients with serious illness.

How ACOs can improve care coordination.

Practical strategies for health plans and ACOs to improve care for patients with serious illness.

This resource is an updated quick reference guide to promising models for people with complex needs.

Accountable Care Organization leaders explore approaches to segmenting high-need, high-cost populations.

An analysis of the National Survey of ACOs

A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

Patient engagement improves patient-reported outcomes.

California is asking Medicaid patients these ten questions about social and functional needs.

A brief summarizes what you need to know about the new Chronic Care Act.

Case studies of two community hospitals show how to advance accountable care.

This resource provides a road map for health plans to improve Medical Loss Ratio.

This resources describes the competencies organizations need to transition to value-based payment.

This framework can help you design programs for patients with serious illnesses.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.

This resource describes the value of navigators for Medicaid beneficiaries with mental illness.