Resources

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.

Geisinger Health System Deploys Community Health Workers to Address Social Determinants of Health
Play: Treating Opioid Use Disorder in the Emergency Department
Academic Medical Centers and High-Need, High-Cost Patients: A Call to Action

This resource reviews efforts of academic medical centers (AMCs) to improve care for patients with complex needs, and the opportunities for AMCs to contribute to better care throu

Active Redesign of a Medicaid Care Management Strategy for Greater Return on Investment: Predicting Impactability

This resource describes the evolution of complex care management targeting strategies in Community Care of North Carolina’s (CCNC) work with the statewide non-dual Medicaid popula

Integrating Health Care for High-Need Medicaid Beneficiaries With Serious Mental Illness and Chronic Physical Health Conditions at Managed Care, Provider, and Consumer Levels

This resource assesses HealthChoices HealthConnections, an integration pilot program for Medicaid beneficiaries with SMI and co-occurring chronic conditions in t

Key Questions

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