Case Managers for High-Risk, High-Cost Patients as Agents and Street-Level Bureaucrats
How to improve the cost benefits of case management.
Peer-Reviewed Article
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Displaying 141 - 160 of 175
Academic Medical Centers and High-Need, High-Cost Patients: A Call to Action
This resource describes how academic medical centers can reshape the health system for patients with complex needs.
Peer-Reviewed Article
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
Innovations in Medicare Advantage to Improve Care for Seriously Ill Patients
This resource describes how MA could lead the way in diffusing new care and payment models.
Brief/Report
Care Management Contracting for Complex Populations: Best Practices and Tools
This resource offers guidance on contracting for populations with complex needs.
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
Investing in Social Services as a Core Strategy for Healthcare Organizations: Developing the Business Case
This resource explains how to invest in social services as a business strategy.
Implementation Tool
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
The Case for Hospital Palliative Care
Palliative care is appropriate at any stage of illness and can be provided alongside curative treatment.
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
Competing Health Care Systems and Complex Patients: An Inter-Professional Collaboration
This paper describes competing health care systems can collaborate to improve care for overlapping patient populations.
Peer-Reviewed Article
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
The Cost-Effectiveness of Clinical Nurse Specialist–Led Interventions in Palliative Care
Clinical Nurse Specialists are playing a greater role in palliative care, but evidence on their cost-effectiveness is mixed.
Peer-Reviewed Article
Toward a Serious Illness Program Design and Implementation Framework
This framework can help you design programs for patients with serious illnesses.
Peer-Reviewed Article
Nursing Student Coaches for Emergency Department Super Utilizers
Nursing students successfully coach patients with complex needs to avoid ED use.
Peer-Reviewed Article
Diffusion of Community Health Workers Within Medicaid Managed Care: A Strategy to Address Social Determinants of Health
New Mexico’s model to deploy community health workers is now replicated in 12 states.
Case Example
Complex Care Program Development: A New Framework for Design and Evaluation
A new framework outlines four steps to develop care management programs.
Brief/Report
Development of a Care Guidance Index Based on What Matters to Patients
The What Matters Index measures quality of life for people with chronic conditions.
Peer-Reviewed Article
Serious Illness Conversation Guide
This conversation guide includes specific steps and language for talking about serious illness.
Implementation Tool
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