Case studies of two community hospitals show how to advance accountable care.

This resource provides a road map for health plans to improve Medical Loss Ratio.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.

This resource describes the value of navigators for Medicaid beneficiaries with mental illness.

Evaluation of state Medicaid health home model programs details approaches for implementation and outcomes for enrolled members.

CareMore’s business model identifies high-risk patients and surrounds them with coordinated services

Home visits can reach patients with complex needs before a higher level of care is needed

A new framework outlines four steps to develop care management programs.

Cost considerations for the expansion of mobile integrated health care and community paramedicine programs.

The staff position of care coordinator is crucial to success.

The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.

Guided Care is designed to strike a balance between telephone-based and interdisciplinary team-based care management programs.

Experts describe how delivery systems can effectively serve adults with complex needs.

The program offers a lower-cost alternative to the hospital for patients who can be safely treated at home.

A home-based primary care program decreases costs and utilization for high-risk Medicare enrollees in Washington D.C.

A systemic review of transitional care interventions reporting hospital readmission

Systematic review demonstrates the potential of home-based primary care interventions for improving heath, cost, and patient experience outcomes for adults with multiple chronic conditions and serious disabilities.

Care management programs should include processes for evaluating patient-reported outcomes.

Health Resilience Specialists work with the patients to meet their personal health needs

Much of the evidence comes from small studies, so further testing is needed.