

Topics
Series
Displaying 141 - 160 of 183
A Surprising Trend Among Medicare Advantage Plans
From continued enrollment growth to expanded flexibility to offer non-medical supplemental benefits, Medicare Advantage plans are playing an increasingly important role in the lives of older adults.
Transitional Care Programs for Vulnerable Populations: New Evidence on the Benefits of a Person-Centered Approach
Christine Schaeffer, MD, medical director of Northwestern Medicine Transitional Care Clinic, describes the core components of its transitional care program. She also shares important considerations for health systems interested in implementing person-centered transitional care.
Special Needs Plans: A Primer on I-SNPs
Provides an overview on Special Needs Plans (SNPs), a type of Medicare Advantage plan for individuals with special needs, the types of SNPs serving different populations, and how SNPs serving institutionalized individuals are unique.
Primary Care Transformation: No Longer a Task of One
Primary care initiatives have shown that enhancing primary care can coordinate service delivery to the benefit of both patients and clinicians. In Medicare ACOs, primary care transformation has been foundational for shifting to a team-based approach that reaps benefits for everyone involved.
Is the Bright Line Between Acute and Non-acute Care Fading?
The "winners" in population health management will be the health plans and providers that figure out how to identify individuals with activities of daily living impairment and address their needs with comprehensive care management and targeted non-medical services.
Senior Living: The Biggest Missed Opportunity in Health Care
Although senior living organizations are primarily oriented toward housing and hospitality, there are many reasons they provide a great platform for value-based care.
Transportation Benefits as Care Coordination: A Case Study from HealthPartners and Minnesota’s Senior Health Options Program
HealthPartners of Minnesota, one of seven health plans in Minnesota’s state administered Minnesota Senior Health Options program, was highlighted in a recent report its unique dedication to improving transportation quality and convenience for its members, and the benefits of state supported Fully Integrated Dual Eligible Special Needs Plan.
Senior Living 101: A Primer on Senior Living
As ACOs and MCOs develop value-based strategies for managing a complex care population, they should get to know the organizations in their market that offer housing and services aimed at this population.
Striving for Person-Centered Care
Describes a series of video modules for health system leaders and clinicians that aims to reinvigorate the idea of person-centered care for those with complex health, social, and functional needs.
An Outsourcing Strategy to Expand the Use of Palliative Care
Describes Summit Medical Group’s experience integrating palliative care services and offers advice for other ACOs that are struggling to expand palliative care services and looking for a path forward.
The Complex Care Hospitalist Program at Boston Medical Center
Caroline Morgan Berchuck, MD, describes a promising new complex care hospitalist model that aims to address this fragmentation and support people with complex needs in realizing better health outcomes.
Dispatch Health: Reducing Avoidable Emergency Department Use Through On-Demand Acute Care Delivered to Patients in Their Homes
Dr. Mark Prather, emergency physician and founder of Dispatch Health, shares how his organization provides on-demand home visits in 10 metropolitan areas and provided nearly visits to nearly 100,000 visits to patients last year.
The Serious Illness Care Program at Ariadne Labs
Rachelle Bernacki, MD, discusses developing, implementing, and scaling the Serious Illness Care Program at Ariadne Labs, including a few surprises and challenges from along the way.
Is Co-Design the Key to Successful Complex Care Management?
What typically happens when a clinician meets a patient with complex care needs? Co-designing care is especially important when the care is for people with complex needs. Here are some tips for co-designing complex care management.
A Path Forward for Medicare-Medicaid Enrollees
Nearly 12 million individuals are enrolled in both Medicare and Medicaid. This “dually eligible” population face significant challenges in receiving well-coordinated care that is aligned with their needs.
The Holston Medical Group Extensivist Clinic: Delivering Hospital-Level Care in an Ambulatory Setting
Dr. Neglia and The Holston Medical Group have established a unique program that cares for acutely ill patients in an ambulatory setting even though their illnesses would qualify for an inpatient hospitalization.
Defining the “Value” in Value-Based Care for Dual-Eligible Populations
For the past 20 years, the fundamentals of health care delivery have remained largely unchanged. Health plans rely on cost-shifting and utilization management to bend the cost curve, and doctors and hospitals accept lower prices in exchange for increased patient volumes.
Spotlight on Special Needs Chronic Care Populations: An Innovative Effort by Senior Whole Health Toward Aligning Quality Measurement and Improvement
Andrew McClure of Senior Whole Health, a Magellan company, discusses his work around aligning quality measurement and improvement and offers insight on what drove the success of this partnership between medical group providers and this special needs health plan.
The Transformation of Chronic Illness Care
Describes the implications of Title III of the Bipartisan Budget Act of 2018, which containes a series of landmark provisions for advancing the integration of Medicare and Medicaid and for improving care for persons with complex chronic conditions.
Atrius Health’s Medically Home Program Integrates Acute Hospitalization and Post-Discharge Care
A new care delivery model of providing hospital-level services in the home (sometimes referred to as “home hospitalization” or “hospital at home”) has been launching with pilots at a number of health systems nationally.
Topics
Series
Displaying 141 - 160 of 183
A Surprising Trend Among Medicare Advantage Plans
From continued enrollment growth to expanded flexibility to offer non-medical supplemental benefits, Medicare Advantage plans are playing an increasingly important role in the lives of older adults.
Transitional Care Programs for Vulnerable Populations: New Evidence on the Benefits of a Person-Centered Approach
Christine Schaeffer, MD, medical director of Northwestern Medicine Transitional Care Clinic, describes the core components of its transitional care program. She also shares important considerations for health systems interested in implementing person-centered transitional care.
Special Needs Plans: A Primer on I-SNPs
Provides an overview on Special Needs Plans (SNPs), a type of Medicare Advantage plan for individuals with special needs, the types of SNPs serving different populations, and how SNPs serving institutionalized individuals are unique.
Primary Care Transformation: No Longer a Task of One
Primary care initiatives have shown that enhancing primary care can coordinate service delivery to the benefit of both patients and clinicians. In Medicare ACOs, primary care transformation has been foundational for shifting to a team-based approach that reaps benefits for everyone involved.
Is the Bright Line Between Acute and Non-acute Care Fading?
The "winners" in population health management will be the health plans and providers that figure out how to identify individuals with activities of daily living impairment and address their needs with comprehensive care management and targeted non-medical services.
Senior Living: The Biggest Missed Opportunity in Health Care
Although senior living organizations are primarily oriented toward housing and hospitality, there are many reasons they provide a great platform for value-based care.
Transportation Benefits as Care Coordination: A Case Study from HealthPartners and Minnesota’s Senior Health Options Program
HealthPartners of Minnesota, one of seven health plans in Minnesota’s state administered Minnesota Senior Health Options program, was highlighted in a recent report its unique dedication to improving transportation quality and convenience for its members, and the benefits of state supported Fully Integrated Dual Eligible Special Needs Plan.
Senior Living 101: A Primer on Senior Living
As ACOs and MCOs develop value-based strategies for managing a complex care population, they should get to know the organizations in their market that offer housing and services aimed at this population.
Striving for Person-Centered Care
Describes a series of video modules for health system leaders and clinicians that aims to reinvigorate the idea of person-centered care for those with complex health, social, and functional needs.
An Outsourcing Strategy to Expand the Use of Palliative Care
Describes Summit Medical Group’s experience integrating palliative care services and offers advice for other ACOs that are struggling to expand palliative care services and looking for a path forward.
The Complex Care Hospitalist Program at Boston Medical Center
Caroline Morgan Berchuck, MD, describes a promising new complex care hospitalist model that aims to address this fragmentation and support people with complex needs in realizing better health outcomes.
Dispatch Health: Reducing Avoidable Emergency Department Use Through On-Demand Acute Care Delivered to Patients in Their Homes
Dr. Mark Prather, emergency physician and founder of Dispatch Health, shares how his organization provides on-demand home visits in 10 metropolitan areas and provided nearly visits to nearly 100,000 visits to patients last year.
The Serious Illness Care Program at Ariadne Labs
Rachelle Bernacki, MD, discusses developing, implementing, and scaling the Serious Illness Care Program at Ariadne Labs, including a few surprises and challenges from along the way.
Is Co-Design the Key to Successful Complex Care Management?
What typically happens when a clinician meets a patient with complex care needs? Co-designing care is especially important when the care is for people with complex needs. Here are some tips for co-designing complex care management.
A Path Forward for Medicare-Medicaid Enrollees
Nearly 12 million individuals are enrolled in both Medicare and Medicaid. This “dually eligible” population face significant challenges in receiving well-coordinated care that is aligned with their needs.
The Holston Medical Group Extensivist Clinic: Delivering Hospital-Level Care in an Ambulatory Setting
Dr. Neglia and The Holston Medical Group have established a unique program that cares for acutely ill patients in an ambulatory setting even though their illnesses would qualify for an inpatient hospitalization.
Defining the “Value” in Value-Based Care for Dual-Eligible Populations
For the past 20 years, the fundamentals of health care delivery have remained largely unchanged. Health plans rely on cost-shifting and utilization management to bend the cost curve, and doctors and hospitals accept lower prices in exchange for increased patient volumes.
Spotlight on Special Needs Chronic Care Populations: An Innovative Effort by Senior Whole Health Toward Aligning Quality Measurement and Improvement
Andrew McClure of Senior Whole Health, a Magellan company, discusses his work around aligning quality measurement and improvement and offers insight on what drove the success of this partnership between medical group providers and this special needs health plan.
The Transformation of Chronic Illness Care
Describes the implications of Title III of the Bipartisan Budget Act of 2018, which containes a series of landmark provisions for advancing the integration of Medicare and Medicaid and for improving care for persons with complex chronic conditions.
Atrius Health’s Medically Home Program Integrates Acute Hospitalization and Post-Discharge Care
A new care delivery model of providing hospital-level services in the home (sometimes referred to as “home hospitalization” or “hospital at home”) has been launching with pilots at a number of health systems nationally.