Resources

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...
This resource offers recommendations for federal policymakers to help finance LTSS, the clinical and social services that assist individuals with limited ability to care for themselves. In 2013...
This resource is a case study of Commonwealth Care Alliance (CCA), a Boston-based Medicare Advantage plan and care delivery network that seeks to integrate medical, behavioral health, and social...
There is currently no single statement of what a delivery system must have to effectively serve adults with complex care needs. The SCAN Foundation convened a working group of diverse experts...
This resource is a slide set outlining a project to adapt the Camden Coalition of Healthcare Providers high-utilizer care coordination model to four other sites. Enrollment criteria for the Camden...
This resource explores whether individuals’ levels of engagement in their care — referred to as “patient activation” — correlates with their use of services and status as “high need, high cost.”...
This resource is a case study of the Program of All-Inclusive Care for the Elderly (PACE), focusing on On Lok, the original program. On Lok Senior Health Services was founded in 1971 in the San...