Resources

The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies
People who are dually eligible for Medicare and Medicaid must navigate two uncoordinated systems of care with different incentives, benefits, provider networks and enrollment processes. As states...
A Systematic Review of Intensive Outpatient Care Programs for High-Need, High-Cost Patients
Intensive outpatient care programs (IOCPs) — innovative clinical care interventions that provide patient-centered care through the use of multidisciplinary care teams — are being increasingly...
Core Competencies for Frontline Complex Care Providers
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...
COVID-19 Social Health Playbook
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...
Establishing Partnerships between Health Systems and Community-Based Organizations to Address Social Needs: First-Hand Perspectives from New York City
Features perspectives from leaders at Mount Sinai Health System and AIRnyc, a community-based organization that employs community health workers, on the opportunities and challenges of their partnership when it comes to addressing social needs.
Providing Non-Medical Supplemental Benefits in Medicare Advantage
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...
Reimbursement for Evidence-Based Health Promotion Programs in the Community
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...
Better Care Playbook: Redesigned to Help You Better Redesign Care
Highlights key features of the newly redesigned Better Care Playbook.
Effect of a Community-Based Nursing Intervention on Mortality in Chronically Ill Older Adults: A Randomized Controlled Trial
Older adults with these chronic diseases often experience poor quality of care and frequent hospital utilization, and account for high health care costs. Care management interventions have shown...
Expanded Medicare Advantage Supplemental Benefits: Offering Flexibility to Support High-Need Medicare Beneficiaries
More than one-third of Medicare beneficiaries are enrolled in a Medicare Advantage (MA) plan, and many high-need MA enrollees may benefit from new flexibilities for plans to provide supplemental...
Experience of Emergency Department Use Among Persons with a History of Adverse Childhood Experiences
People with adverse childhood experiences (ACEs) — traumatic occurrences such as physical, emotional, or sexual abuse, neglect, or household dysfunction — are more likely to have physical and...
Fostering Resilience and Recovery: A Change Package for Advancing Trauma-Informed Primary Care
Trauma-informed approaches within primary care can support more effective care for individuals with a history of trauma, improve patient outcomes, and increase staff satisfaction. This change package...