Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked.

Improving care for high-need, high-cost patients is a key lever to decrease national health spending.

Dual-eligible beneficiaries are often more sick, have greater functional and cognitive impairments, and require more care coordination.

Provider incentives must be based on Triple Aim outcomes.

Successful long-term services and supports programs have a single point of accountability, such as a care manager.

A study of five programs identified key factors that support collaboration among community-based health and social services.

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.

A three-pronged strategy can help manage care for Medicare beneficiaries.

In nursing homes, replacing on-call physician services during off-hours with direct contact via telemedicine may reduce Medicare spending through fewer avoidable hospitalizations.

A study showed that some programs reduced hospitalizations by 8 to 33 percent.