Highlights PACE programs’ efforts to redesign care during the COVID-19 pandemic and presents policy options that may help to expand access to the programs in the future.
Shares current health care leaders’ perspectives on the emerging field of complex care and how they are working to solve its so-called "margin-mission" tension.
Features a conversation with Heidi Bossley and Keziah Imbeah, authors of the recently published Measuring Complexity report, who share insights into the findings and considerations for the field in adopting a more standardized approach to complex care measurement.
Highlights experiences from the Center to Advance Palliative Care’s Medicare Advantage and ACO Learning Communities with strategies for improving serious illness care, as well as resources that health plans and ACOs can use to drive better value and improve the quality of life for those living with serious illness.
Highlights opportunities for long-term care providers to leverage federal and state flexibilities to adopt new ways of delivering services to older adults and people with complex needs, as well as addressing barriers to care created by the COVID-19 pandemic.
Highlights how the Commonwealth Fund's social determinants of health ROI calculator can help community-based organizations and health system partners integrate nonmedical services in a financially sustainable way.
A community health worker and social worker from CareMore Health share their perspective on the importance of their roles in lowering costs and improving outcomes for high-need patients.
Describes how two health plans — Anthem, Inc. and Highmark Blue Cross Blue Shield —organizations introduced a palliative care measure into their hospital value-based payment programs, which has led to significant improvements in access to palliative care for their seriously ill members.
Details the proactive approach of Cambridge Health Alliance, a public ambulatory care and hospital system in the Boston area, to initiate goals of care conversations with high-risk patients in their respiratory clinic.
David Labby, MD, health strategy advisor at Health Share of Oregon, outlines how the COVID-19 response presents key opportunities for health systems to build new relationships and approaches needed for a recovery-oriented approach to complex care.
Explores opportunities for Medicare Advantage plans to provide non-medical supplemental benefits during COVID-19 — including in-home supports, meal and grocery deliveries, home modifications, and transitional supports — to help Medicare beneficiaries shelter at home.
Melanie Bella, former director of the Medicare-Medicaid Coordination Office at the Centers for Medicare & Medicaid Services, explores implications of COVID-19 to influence the future landscape for integrating Medicare and Medicaid services.
When the COVID-19 pandemic struck, One Community Health partnered with OCHIN to rapidly transform its care delivery model, implementing new virtual care tools to safely and effectively serve vulnerable patients with complex needs through the pandemic and beyond.
Features a conversation with Terry Fulmer, president of the John A. Hartford Foundation, who discusses potential solutions for older adults experiencing social isolation and loneliness — both during and after the COVID-19 pandemic.
Features a conversation with Lori Tishler, senior vice president of medical services at Commonwealth Care Alliance, who shares how CCA is rethinking its day-to-day practice to address the COVID-19 pandemic.
Bruce Chernof, MD, President and CEO of The SCAN Foundation, highlights flexibilities that allow health systems to respond to the growing challenges due to COVID-19.
Features senior leadership from Health Share of Oregon who provide details about their efforts to mitigate issues that will affect their members due to COVID-19.