Resources

This resource provides an introduction to trauma‐informed care, describing how it can serve high‐need, high‐cost Medicaid populations. It includes three case studies of innovative programs and a chart...
This resource offers a structured improvement process for redesigning care for people with complex needs and high health care costs. This guide harvests the experience of over 200 organizations who...
This resource describes how to develop and implement a model called the Intensive Outpatient Care Program, which uses a multidisciplinary team-based approach to address medical, behavioral, and social...
This resource reviews the case for segmenting patients with complex needs and different ways of segmenting, as well as challenges and limitations. The high-need, high-cost population is heterogeneous...
This report explores key issues, spending implications, and existing barriers to meeting the needs of high-need, high-cost patients. It suggests policy options for a new federal administration to...
This resource examines reimbursement structures that serve beneficiaries who are dually eligible for Medicare and Medicaid. It also includes an analysis comparing care patterns for dual-eligible...
As the health care system shifts from a fee-for-service structure to value-based payment programs, it’s important to offer appropriate services across the continuum of care. This resource reviews...
This resource explores how measuring patients’ activation levels can help identify those individuals at higher risk for poor health outcomes and utilization of avoidable costly care. Population health...
This resource reviews strategies to identify patients who are likely to require high-cost care. The high-cost population is very heterogeneous, and segmentation strategies can inform population...
This resource describes the work of Congregational Health Network (CHN), which is a collaboration between Methodist le Bonheur Healthcare (MLH), clergy, and other partners to improve health care...
This resource reviews emerging payer and provider partnerships that incentivize value-based payment models. Key points and recommendations include: The highest-need, highest-cost population is ever...
This resource is a case study of Care Management Plus (CM+), a health care delivery model designed to improve the quality and coordination of care for older adults and other patients with multiple...