Displaying 161 - 180 of 981

Care Transitions Intervention: Coaching Patients to Successfully Transition from Hospital to Home

Highlights the Care Transitions Intervention (CTI), an evidence-based, short-term model that helps prevent unnecessary hospital readmissions and emergency department visits and reduce unnecessary spending.

Blog

July 2023

Redesign of a Primary Care-Based Housing Intervention to Address Upstream Housing Needs

A primary care practice redesigned its social needs screening and patient triage process to allow specialized staff to spend more time supporting patients with more intensive housing needs.

Case Example

July 2023

Medi-Cal Member Advisory Committee: Design Recommendations for the California Department of Health Care Services

Recommendations to inform the design and implementation of a new Medicaid Advisory Committee.

Implementation Tool

July 2023

Clinicians and Promotores Teaming to Provide In-Home Primary Care to Frail Older Adults

Pairing promotores with clinicians increased in-home visits and reduced acute care use and health care costs for homebound older adults.

Case Example

July 2023

The Better Care Playbook's 2023 Summer Reading List

The Playbook’s summer reading list offers a selection of blog posts and evidence summaries that showcase innovative strategies for improving care for people with complex needs.

Blog

June 2023

Partnerships with Community-Based Organizations: Opportunities for Health Plans to Create Value

This resource guide outlines the value case for health plans to partner with community-based organizations for social care benefits.

Implementation Tool

June 2023

Functions of a Mature Community Care Hub

The community care hub model can support facilitating strong partnerships between community-based organizations and health care organizations.

Implementation Tool

June 2023

Pandemic Telehealth Flexibilities for Buprenorphine Treatment: A Synthesis of Evidence and Policy Implications for Expanding Opioid Use Disorder Care in the United States

Telehealth for buprenorphine treatment is associated with improved patient and provider satisfaction of care.

Peer-Reviewed Article

June 2023

Assessment of the Massachusetts Flexible Services Program to Address Food and Housing Insecurity in a Medicaid Accountable Care Organization

A program to connect Medicaid ACO enrollees with nutrition and housing-related services demonstrated early indications of effectiveness.

Peer-Reviewed Article

June 2023

Addressing the Complex Needs of Older Adults through Strong Community-Based Organization and Health Plan Partnerships

This webinar highlighted one successful CBO-health plan partnership model to explore why they entered into a partnership, how they put their contract into practice, and outcomes of the partnership so far.

Webinar

June 2023

Estimating the Workload of a Multi-Disciplinary Care Team Using Patient-Level Encounter Histories

Insights from patient-level encounter histories can support optimizing care coordination team staffing for high-need patients.

Peer-Reviewed Article

June 2023

Three Decades of Research in Substance Use Disorder Treatment for Syringe Services Program Participants: A Scoping Review of the Literature

Syringe Services Programs can function as entry points to substance use disorder treatment and provide onsite medications for opioid use disorder.

Peer-Reviewed Article

June 2023

Dosage and Outcomes in a Complex Care Intervention

Implementation of a high-dose care management intervention for patients with complex health and social needs can reduce hospitalization rates.

Peer-Reviewed Article

June 2023

Scaling Primary Care Social Needs Screening and Referrals in New York City’s Safety-Net Health System

An overview of NYC Health + Hospital’s implementation of a primary care-based social needs screening and referral program, including key implementation challenges and success factors.

Case Example

June 2023

Tools for States on Exclusively Aligned Enrollment in Dual Eligible Special Needs Plans: Introduction to Exclusively Aligned Enrollment

Tool describes a state policy strategy for improving coordination across Medicare and Medicare for dually eligible individuals.

Implementation Tool

June 2023

A Descriptive Study of Screening and Navigation on Health-Related Social Needs in a Safety-Net Hospital Emergency Department

Emergency department-based social needs screening and referrals lead to a reduction in emergency department visits.

Peer-Reviewed Article

June 2023

Cocreating Evidence-Informed Health Equity Policy with Community

A county health department, in collaboration with community-based organizations, conducts community listening sessions to identify priorities for health equity policies.

Case Example

June 2023

Building Trust: Leadership Reflections on Community Empowerment and Engagement in a Large Urban Initiative

Leaders of community-based partnerships that offer trauma-informed programming highlight strategies for building trust with communities.

Peer-Reviewed Article

June 2023

Practice Guide: Integrated Behavioral Health Care for Older Adults

Actionable and evidence-based guidance for integrating behavioral health care into primary care for older adults.

Implementation Tool

June 2023

Association of a Medicare Advantage Posthospitalization Home Meal Delivery Benefit With Rehospitalization and Death

Home-delivered meals reduced rates of 30-day rehospitalization and death for Medicare Advantage members post hospitalization.

Peer-Reviewed Article

June 2023

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Care Transitions Intervention: Coaching Patients to Successfully Transition from Hospital to Home

Redesign of a Primary Care-Based Housing Intervention to Address Upstream Housing Needs

Medi-Cal Member Advisory Committee: Design Recommendations for the California Department of Health Care Services

Clinicians and Promotores Teaming to Provide In-Home Primary Care to Frail Older Adults

The Better Care Playbook's 2023 Summer Reading List

Partnerships with Community-Based Organizations: Opportunities for Health Plans to Create Value

Functions of a Mature Community Care Hub

Pandemic Telehealth Flexibilities for Buprenorphine Treatment: A Synthesis of Evidence and Policy Implications for Expanding Opioid Use Disorder Care in the United States

Assessment of the Massachusetts Flexible Services Program to Address Food and Housing Insecurity in a Medicaid Accountable Care Organization

Addressing the Complex Needs of Older Adults through Strong Community-Based Organization and Health Plan Partnerships

Estimating the Workload of a Multi-Disciplinary Care Team Using Patient-Level Encounter Histories

Three Decades of Research in Substance Use Disorder Treatment for Syringe Services Program Participants: A Scoping Review of the Literature

Dosage and Outcomes in a Complex Care Intervention

Scaling Primary Care Social Needs Screening and Referrals in New York City’s Safety-Net Health System

Tools for States on Exclusively Aligned Enrollment in Dual Eligible Special Needs Plans: Introduction to Exclusively Aligned Enrollment

A Descriptive Study of Screening and Navigation on Health-Related Social Needs in a Safety-Net Hospital Emergency Department

Cocreating Evidence-Informed Health Equity Policy with Community

Building Trust: Leadership Reflections on Community Empowerment and Engagement in a Large Urban Initiative

Practice Guide: Integrated Behavioral Health Care for Older Adults

Association of a Medicare Advantage Posthospitalization Home Meal Delivery Benefit With Rehospitalization and Death