Care model that integrates home-based primary care and palliative care for patients with serious illness reports reduced health care utilization and improved patient care experience.

Home-based palliative care program implemented within an accountable care organization created cost savings through reduced hospital admissions and increased hospice length of stay.

Tailoring palliative care interventions for people who are members of ethnic and racial minority groups may support increased access to palliative care and end of life services.

Presents a framework and tools to help health care organizations and communities design a community-based palliative care program to meet patient needs in rural settings.

This case study analyzes a successful example of a medical group partnering with a home health agency to provide community-based palliative care for high-risk members of their accountable care organization.

Systematic review demonstrates the potential of home-based primary care interventions for improving heath, cost, and patient experience outcomes for adults with multiple chronic conditions and serious disabilities.

This case study highlights an accountable care organization’s home-based primary care program for homebound older adults, with early analysis of outcomes showing reduced acute care utilization.

Implementing a predictive model in acute settings can more reliably identify patients with high mortality risk, which can assist providers in prioritizing advance care planning.

Evaluates the evidence on interventions for people living with dementia, their care partners, and caregivers to help identify what interventions are ready for broad implementation.

Clinical tools, training resources, and case studies of evidence-based care models that support people living with dementia and their caregivers.

Patients with dementia are more likely to be discharged to hospice from hospitals that offer palliative care programs.

Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base.

Describes the needs of distinct subpopulations within the dually eligible population with highly complex needs, along with opportunities for tailored interventions that may reduce health care spending.

Applying principles of trauma-informed care for patients at end of life.

Practical strategies for health plans and ACOs to improve care for patients with serious illness.

Hospital system call line expands access to palliative care supports amid COVID-19.

How ACOs are addressing serious illness.

Includes case studies, clinical assessment tools, and other resources for identifying and assessing the needs of patients with serious illness.

Improving communication with patients with advanced cancer

This resource describes how MA could lead the way in diffusing new care and payment models.