Resources

Patterns of Collaboration among Health Care and Social Services Providers in Communities with Lower Health Care Utilization and Costs

This resource describes a study of how health care providers and social services providers coordinate their work in communities that achieve relatively low health care utili

Spotlight on Special Needs Chronic Care Populations: An Innovative Effort by Senior Whole Health Toward Aligning Quality Measurement and Improvement
The Transformation of Chronic Illness Care
Atrius Health’s Medically Home Program Integrates Acute Hospitalization and Post-Discharge Care
Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

This resource describes a randomized quality improvement trial that assessed whether augmenting usual primary care with team-based intensive management lowers utilization and cost

Case Managers for High-Risk, High-Cost Patients as Agents and Street-Level Bureaucrats

This resource reviews the literature on case management programs published over the past 17 years, arguing that application of two theories (agency and street-level bureaucratic t

Medicare Advantage Flexibility: Improving Care for Seriously Ill Beneficiaries

This resource describes recent changes in Medicare Advantage (MA) and their implications for plans.

Financing a Complex Care Model
Enrollment Alignment is Essential to Fully Integrated Care For Medicare-Medicaid Beneficiaries
Four Barriers to Treating Substance Abuse Disorder in the Emergency Department and How to Overcome
Play: Integrating Social Workers Into Primary Care Teams
Persistence and Drivers of High-Cost Status Among Dual-Eligible Medicare and Medicaid Beneficiaries

This resource analyzes the drivers of cost for Medicare-Medicaid beneficiaries, particularly looking at the differences between persistent and transient high costs.

Key Questions

Find curated resources about promising approaches to improving care for people with complex needs.