How ACOs can improve care coordination.

Assessing post-discharge needs.

Challenges and opportunities for older adults with multiple chronic conditions.

Includes national survey data on family caregivers and their experiences in managing complex medical and nursing tasks for their family members at home, as well as recommendations to improve the supports for family caregivers.

Four care management models for ACOs.

A tool for assessing readiness for value-based partnerships.

An in-depth overview of different personas.

This resource is an updated quick reference guide to promising models for people with complex needs.

Maximizing the impact of outpatient complex case management.

The case conference approach to caring for complex patients.

An international analysis of high-cost patients.

Overcoming barriers to patient engagement.

An analysis of the National Survey of ACOs

Mixed evidence for efforts to reduce rehospitalizations.

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

Community approaches to reducing care utilization and costs.

A regional approach to health care transformation.

A hospitalist model for complex care.

Supplementing primary care with team-based management.

How to improve the cost benefits of case management.