Displaying 1 - 20 of 47

State-by-State Health Home State Plan Amendment Matrix

Tool shares key features of approved state Medicaid health home programs.

Implementation Tool

December 2024

Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance

This toolkit provides key considerations and templates for state Medicaid leaders seeking to establish coverage, payment, and policy guidance for community health workers.

Implementation Tool

November 2024

The Camden Coalition Care Management Program Improved Intermediate Care Coordination: A Randomized Controlled Trial

The reanalysis of a randomized control trial evaluating the effectiveness of a care management program finds increased linkages to ambulatory care.

Peer-Reviewed Article

December 2023

Evaluation of AB 1544: Community Paramedicine and Triage to Alternate Destination

California community paramedicine and triage to alternative destination programs lead to more coordinated care and reductions in emergency department visits and hospital readmissions.

Brief/Report

October 2023

Hospital Readmissions by Variation in Engagement in the Health Care Hotspotting Trial: A Secondary Analysis of a Randomized Controlled Trial

Secondary analysis of Camden Coalition randomized controlled data found that care management participants who were the most likely to engage with the intervention had significantly lower readmission rates.

Peer-Reviewed Article

September 2023

Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?

An interdisciplinary care management program for Medicare patients at increased risk of hospitalization demonstrates a positive return on investment.

Peer-Reviewed Article

September 2023

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

An interdisciplinary home-based primary care program for older adults with limited mobility leads to reductions in health care utilization and costs.

Peer-Reviewed Article

August 2023

Trade-Offs in Locational Choices for Care Coordination Resources in Accountable Care Organizations

Having onsite care coordinators may significantly improve the quality of patient care, while centralized coordination is associated with increased information sharing.

Peer-Reviewed Article

July 2023

Community Paramedicine in Central Oregon: A Promising Model to Reduce Non-Urgent Emergency Department Utilization Among Medically Complex Medicaid Beneficiaries

Randomized controlled trial measuring the impact of a community paramedicine model implemented in two rural counties shows reduction in emergency department visits.

Peer-Reviewed Article

May 2023

Community Health Worker Programs in Primary Care

Curates recent evidence behind community health worker programs that support people with complex health and social needs, as well as practical strategies to support effective implementation of these programs.

Collection

April 2023

Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States

Community health worker interventions are effective for improving health behaviors and outcomes and reducing health care costs for people with chronic disease.

Peer-Reviewed Article

April 2023

Dementia Care Navigation: Building Toward a Common Definition, Key Principles, and Outcomes

An expert panel proposed key principles for designing care navigation programs for persons living with dementia and their caregivers.

Peer-Reviewed Article

April 2023

Evaluating a Care Management Program for Dual-Eligible Beneficiaries: Evidence from Rhode Island

Community health worker-led program associated with reduced acute care utilization and lower Medicaid and total costs for dually eligible individuals.

Brief/Report

February 2023

Quality of Depression Care for Veterans Affairs Primary Care Patients with Experiences of Homelessness

Homeless-tailored primary care clinics within Veterans Affairs facilities improved depression care for people experiencing homelessness.

Peer-Reviewed Article

February 2023

Complex Community Health and Social Care Interventions – Which Features Lead to Reductions in Hospitalizations for Ambulatory Care Sensitive Conditions? A Systematic Literature Review

Primary care-based interventions that integrate community health and social care services can reduce the rate of avoidable hospitalizations.

Peer-Reviewed Article

December 2022

Intensive Care Management of a Complex Medicaid Population: A Randomized Evaluation

An intensive care management intervention led to over $23,000 savings per year in total medical expenses for participating high-risk Medicaid ACO enrollees.

Peer-Reviewed Article

September 2022

Transcending Inequities in Dementia Care in Black Communities: Lessons from the Maximizing Independence at Home Care Coordination Program

Black caregivers of people with dementia share their perspectives on a care coordination intervention.

Peer-Reviewed Article

July 2022

Impact on Health Care Utilization and Costs of a Medicaid Community Health Worker Program in Detroit, 2018–2020: A Randomized Program Evaluation

Medicaid enrollees in a community health worker program had fewer emergency department visits and more outpatient ambulatory care use than beneficiaries who received usual care.

Peer-Reviewed Article

April 2022

Integration of a Community-Based Harm Reduction Program Into a Safety Net Hospital: A Qualitative Study

This study identifies facilitators and barriers of hospital- and community-based harm reduction collaboration efforts and highlights hospital-based opportunities to better serve people who use drugs.

Peer-Reviewed Article

April 2022

Care Management Intervention to Address Determinants of Health for Individuals with Multiple Behavioral Health Readmission

Care management interventions for people transitioning from behavioral health inpatient care may be successful in decreasing readmissions if they address health-related social needs.

Peer-Reviewed Article

April 2022

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State

State-by-State Health Home State Plan Amendment Matrix

Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance

The Camden Coalition Care Management Program Improved Intermediate Care Coordination: A Randomized Controlled Trial

Evaluation of AB 1544: Community Paramedicine and Triage to Alternate Destination

Hospital Readmissions by Variation in Engagement in the Health Care Hotspotting Trial: A Secondary Analysis of a Randomized Controlled Trial

Does Interdisciplinary Care Team Care Management Improve Health Quality and Demonstrate Cost-Effectiveness?

Addressing Healthcare Utilization and Costs for Older Adults with Limited Mobility Through a Multidisciplinary Home-Based Primary Care Program

Trade-Offs in Locational Choices for Care Coordination Resources in Accountable Care Organizations

Community Paramedicine in Central Oregon: A Promising Model to Reduce Non-Urgent Emergency Department Utilization Among Medically Complex Medicaid Beneficiaries

Community Health Worker Programs in Primary Care

Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States

Dementia Care Navigation: Building Toward a Common Definition, Key Principles, and Outcomes

Evaluating a Care Management Program for Dual-Eligible Beneficiaries: Evidence from Rhode Island

Quality of Depression Care for Veterans Affairs Primary Care Patients with Experiences of Homelessness

Complex Community Health and Social Care Interventions – Which Features Lead to Reductions in Hospitalizations for Ambulatory Care Sensitive Conditions? A Systematic Literature Review

Intensive Care Management of a Complex Medicaid Population: A Randomized Evaluation

Transcending Inequities in Dementia Care in Black Communities: Lessons from the Maximizing Independence at Home Care Coordination Program

Impact on Health Care Utilization and Costs of a Medicaid Community Health Worker Program in Detroit, 2018–2020: A Randomized Program Evaluation

Integration of a Community-Based Harm Reduction Program Into a Safety Net Hospital: A Qualitative Study

Care Management Intervention to Address Determinants of Health for Individuals with Multiple Behavioral Health Readmission