Displaying 61 - 78 of 78

Blueprint for Complex Care: Advancing the Field of Care for Individuals with Complex Health and Social Needs

This resource outlines the current state of complex care and recommendations for the future.

Implementation Tool

December 2018

Going Beyond Clinical Care to Reduce Health Care Spending

A regional approach to health care transformation.

Peer-Reviewed Article

July 2018

A New Hospitalist Model for Managing High-Cost, High-Need Patients

A hospitalist model for complex care.

Case Example

October 2018

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

Supplementing primary care with team-based management.

Peer-Reviewed Article

June 2019

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

November 2018

Building Complex Care Programs: A Road Map for States

This guide for state leaders offers lessons about state-level approaches to complex care.

Implementation Tool

October 2017

Designing a Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers

An international expert group offers ten policy recommendations and profiles of innovative care models.

Brief/Report

September 2017

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

March 2018

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

May 2017

Complex Care Program Development: A New Framework for Design and Evaluation

A new framework outlines four steps to develop care management programs.

Brief/Report

March 2017

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

June 2017

So Many Options, Where Do We Start? An Overview of the Care Transitions Literature

A systemic review of transitional care interventions reporting hospital readmission

Peer-Reviewed Article

March 2016

Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use

Home visits can reach patients with complex needs before a higher level of care is needed

Peer-Reviewed Article

March 2017

The Health Resilience Program: A Program Assessment

Health Resilience Specialists work with the patients to meet their personal health needs

Case Example

January 2016

Developing Care Management Programs to Serve High-Need, High-Cost Populations

Care management programs should include processes for evaluating patient-reported outcomes.

Brief/Report

February 2016

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

Experts describe how delivery systems can effectively serve adults with complex needs.

Brief/Report

September 2016

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

August 2016

Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs

Key opportunities include strengthening information technology connections across service providers.

Brief/Report

September 2015

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Blueprint for Complex Care: Advancing the Field of Care for Individuals with Complex Health and Social Needs

Going Beyond Clinical Care to Reduce Health Care Spending

A New Hospitalist Model for Managing High-Cost, High-Need Patients

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

Academic Medical Centers and High-Need, High-Cost Patients: A Call to Action

Building Complex Care Programs: A Road Map for States

Designing a Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers

Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals

Bending the Spending Curve: The Role of Care Management in a Pioneer ACO

Complex Care Program Development: A New Framework for Design and Evaluation

Effective Care for High-Need Patients: Opportunities for Improving Value, Outcomes and Health

So Many Options, Where Do We Start? An Overview of the Care Transitions Literature

Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use

The Health Resilience Program: A Program Assessment

Developing Care Management Programs to Serve High-Need, High-Cost Populations

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

The Hospital at Home Model: Bringing Hospital-Level Care to the Patient

Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs