Quick Reference Guide to Promising Care Models
This resource is an updated quick reference guide to promising models for people with complex needs.
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Displaying 141 - 160 of 188
Outpatient Complex Case Management: Health System-Tailored Risk Stratification Taxonomy to Identify High-Cost, High-Need Patients
Maximizing the impact of outpatient complex case management.
Peer-Reviewed Article
Engaging High-Need Patients in Intensive Outpatient Programs: A Qualitative Synthesis of Engagement Strategies
Overcoming barriers to patient engagement.
Peer-Reviewed Article
Going Beyond Clinical Care to Reduce Health Care Spending
A regional approach to health care transformation.
Peer-Reviewed Article
Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization
Supplementing primary care with team-based management.
Peer-Reviewed Article
Persistence and Drivers of High-Cost Status Among Dual-Eligible Medicare and Medicaid Beneficiaries
Analyzes the largest drivers of high costs among persistently high-cost Medicare-Medicaid beneficiaries, and finds most spending related to long-term care.
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
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
Ten Questions to Better Understand and Serve Your Complex Care Population
California is asking Medicaid patients these ten questions about social and functional needs.
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
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
Disability-Competent Care Self-Assessment Tool
How disability-competent is your organization?
Implementation Tool
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
Evaluation of the Medicaid Health Home Option for Beneficiaries with Chronic Conditions: Annual Report - Year Three
This report presents the findings from the evaluation of Medicaid health homes, created as part of the Affordable Care Act.
Brief/Report
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
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