The Keystone ACO is a partnership between Geisinger, Evangelical Community Hospital, Wayne Memorial Hospital, and the Wright Center for Graduate Medical Education. It serves 73,000 Medicare beneficiaries in the Medicare Shared Savings Program (MSSP). Keystone ACO’s beneficiaries include residents of 41 primarily rural Pennsylvania counties as well as parts of New York, New Jersey and Maryland.
This play was produced by the Institute for Healthcare Improvement (IHI) and authored by Corey Waller, MD. Substance use disorder, commonly called addiction, is a treatable chronic disease that is a significant contributor to health care utilization and poor health outcomes in the United States. Even though it is estimated that up to 60 percent of patients in the US Level 1 Trauma Centers meet the criteria for a substance use disorder, few hospital emergency departments have a service line for these patients. This Play can help you treat substance use disorder in the emergency department as...
Active Redesign of a Medicaid Care Management Strategy for Greater Return on Investment: Predicting Impactability
Integrating Health Care for High-Need Medicaid Beneficiaries With Serious Mental Illness and Chronic Physical Health Conditions at Managed Care, Provider, and Consumer Levels
One of the most pervasive challenges in our health care system is allowing people to optimize their independence and continue living at home as they age and develop more complex health and social needs. These individuals often need long-term services and supports (LTSS), and their number is increasing. It’s estimated that the population of Americans in need of LTSS will rise to 27 million by 2050.
The dialogue on caring for patients with complex needs has moved beyond a recognition that social factors like housing or nutrition have an outsize impact on health to practicalities. Now, health care providers are asking: what can we actually do to help?
Caring for the complex chronically ill — a population that makes up about 5 percent of patients and nearly 50 percent of health care spending — is remarkably challenging. It’s also essential, as the United States transitions to a health care system that is driven by value.