High-Need, High-Cost Segmentation Framework Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs. Implementation Tool October 2021
Person-Centered Engagement at the Organizational Level Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations. Implementation Tool January 2020
Identifying and Designing the Right Care Management Program: Insights from ACOs Four care management models for ACOs. Implementation Tool April 2019
The ROI Calculator for Partnerships to Address the Social Determinants of Health A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations. Implementation Tool August 2018
Accountable Care Atlas: A Development Guide for Competency Implementation This resources describes the competencies organizations need to transition to value-based payment. Implementation Tool November 2017
Taxonomy of Long-Term Services and Supports Integration A standardized tool to assess where along a continuum a program lies with regard to components of integration. Implementation Tool April 2016
Overview of Segmentation of High-Need, High-Cost Patient Population There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework. Implementation Tool January 2016