Website offers a qualitative database of personal narratives to support providers and policymakers in designing policies that better reflect the lived experience, needs, and priorities of older adults.

This toolkit details options for implementing recently introduced Medicare services that address members’ health-related social needs.

Health plans can use this toolkit to create or advance outpatient and home-based palliative care programs, beyond traditional acute care settings.

Toolkit offers recommendations and examples for screening and interventions that support social connectivity of older adults.

The Long-Term Care Equality Index advocates for LGBTQ+ inclusive policies and procedures in long-term care settings.

Strategies for health plans conducting outreach to dually eligible individuals to better support health risk assessments and serve member needs.

Describes the core elements and evidence base behind a home- and community-based palliative care model that was designed by stakeholders to support the health needs of people with serious illness.

This guide describes key strategies for health plans, accountable care organizations, and health systems to improve care for people with serious illness.

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

A practical guide for payers to create a home-based palliative care program centered upon a value-based case example from a payer’s perspective.

Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.

How to implement the new Medicare benefits.

A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.

The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.

The benefits of, incentives for, and various models to deliver palliative care are described.