Health Care Hotspotting — A Randomized, Controlled Trial
Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.
Peer-Reviewed Article
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Displaying 21 - 40 of 41
How Accountable Care Organizations Use Population Segmentation to Care for High-Need, High-Cost Patients
Accountable Care Organization leaders explore approaches to segmenting high-need, high-cost populations.
Brief/Report
Taxonomy of Long-Term Services and Supports Integration
A standardized tool to assess where along a continuum a program lies with regard to components of integration.
Implementation Tool
ACO Serious Illness Care: Survey and Case Studies Depict Current Challenges and Future Opportunities
How ACOs are addressing serious illness.
Peer-Reviewed Article
Identification and Assessment Toolkit for Patients with Serious Illness
Includes case studies, clinical assessment tools, and other resources for identifying and assessing the needs of patients with serious illness.
Implementation Tool
Identifying and Designing the Right Care Management Program: Insights from ACOs
Four care management models for ACOs.
Implementation Tool
Quick Reference Guide to Promising Care Models
This resource is an updated quick reference guide to promising models for people with complex needs.
Brief/Report
How ACOs Are Caring for People with Complex Needs
An analysis of the National Survey of ACOs
Brief/Report
The ROI Calculator for Partnerships to Address the Social Determinants of Health
A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.
Implementation Tool
Medicaid Managed Care Best Practices Compendium
This resource collects the most innovative initiatives in Medicaid managed care that emerge each year.
Brief/Report
The CHRONIC Care Act of 2018: Advancing Care for Adults with Complex Needs
A brief summarizes what you need to know about the new Chronic Care Act.
Brief/Report
Accountable Care Atlas: A Development Guide for Competency Implementation
This resources describes the competencies organizations need to transition to value-based payment.
Implementation Tool
Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals
Case studies of two community hospitals show how to advance accountable care.
Case Example
Toward a Serious Illness Program Design and Implementation Framework
This framework can help you design programs for patients with serious illnesses.
Peer-Reviewed Article
Bending the Spending Curve: The Role of Care Management in a Pioneer ACO
ACOs have lowered costs for high-need patients through care management programs focused on modifiable spending.
Peer-Reviewed Article
Effective Care for High-Need Patients: Opportunities for Improving Value, Outcomes and Health
The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.
Brief/Report
Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals
A study of five programs identified key factors that support collaboration among community-based health and social services.
Peer-Reviewed Article
Overview of Segmentation of High-Need, High-Cost Patient Population
There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.
Implementation Tool
Payment to Promote Sustainability of Care Management Models for High-Need, High-Cost Patients
Provider incentives must be based on Triple Aim outcomes.
Brief/Report
The Hospital at Home Model: Bringing Hospital-Level Care to the Patient
The program offers a lower-cost alternative to the hospital for patients who can be safely treated at home.
Case Example