Frail Older Adults Resources

Headline Community Care Connections, a program assisting older adults with complex needs in navigating medical and social services, shows evidence of lower acute care utilization. Context Successful...
Headline This systematic literature review summarizes different approaches and criteria that can be used to identify patients with complex needs for health system interventions. Context Defining and...
Headline This article describes factors that support health care organizations in transitioning from volume- to value-based payment. Context While the financial challenges of COVID-19 may lead to...
Headline This change package contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations. Context As health...
Headline This series of papers includes promising practices, recommendations, vignettes, and other helpful tools to assist health systems in supporting family caregivers providing complex care...
Individuals who are dually eligible for Medicare and Medicaid often experience uncoordinated care across their medical, behavioral health, and long-term care needs. Care models that integrate Medicare...
The field of complex care, which seeks to improve care for individuals with complex health and social needs, is continually growing and developing its workforce. To convey the essential knowledge...
The health and social impacts of the COVID-19 pandemic disproportionately affect individuals in historically underserved communities. This toolkit, developed by Kaiser Permanente, details a three-step...
Non-medical supplemental benefits are a significant turning point in Medicare policy, but understanding their potential will require much more coordination and collaboration among Medicare Advantage...
Evidence-based health promotion and disease prevention programs (evidence-based programs or EBPs) include programs by Medicaid, Medicare Advantage, and other health plans on chronic disease self...
Improved integration of Medicare and Medicaid services offers the potential to improve beneficiary experience, outcomes, and well-being – and also has the potential for long-term savings. The...
Individuals who are eligible for both Medicare and Medicaid are enrolled in many different types of coverage with varying levels of coordination across their Medicare and Medicaid benefits. Very...