Displaying 221 - 240 of 328

The Common Attributes of Successful Care Manager Programs for High-Need, High-Cost Persons: A Cross-Case Analysis

Ten common attributes for successful care management programs serving high-need, high-cost populations.

Peer-Reviewed Article

October 2019

Upstream With a Small Paddle: How ACOs Are Working Against the Current to Meet Patients’ Social Needs

Accountable care organizations must address key funding, community partnership, and data sharing requirements to successfully integrate social services into medical care.

Peer-Reviewed Article

March 2020

Impact of Complex Care Management on Spending and Utilization for High-Need, High-Cost Medicaid Patients

Complex care management program for high-need, high-cost Medicaid patients demonstrates substantially lower spending and inpatient utilization.

Peer-Reviewed Article

February 2020

A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care

Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.

Peer-Reviewed Article

January 2020

ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients

Connecting complex care teams with specialists through videoconferencing can increase their effectiveness in caring for high-need high-cost patients.

Peer-Reviewed Article

January 2020

Health Care Hotspotting — A Randomized, Controlled Trial

Randomized controlled trial of a care management intervention offers important lessons for the field of complex care.

Peer-Reviewed Article

January 2020

Best Practice Caregiving: Guiding Organizations to Dementia Programs for Family Caregivers

This robust online database provides detailed information on evidence-based dementia caregiving programs to better support family caregivers.

Website/Resource Center

February 2020

Targeting High-Need Beneficiaries in Medicare Advantage: Opportunities to Address Medical and Social Needs

Medicare Advantage plans should identify patients based on medical and social risk factors, not just medical diagnoses.

Brief/Report

February 2019

Using Self-Reported Data to Segment Older Adult Populations with Complex Care Needs

Using patient-self reported data instead of only utilization outcomes may enable better segmentation of older adults.

Peer-Reviewed Article

December 2019

How Accountable Care Organizations Use Population Segmentation to Care for High-Need, High-Cost Patients

Accountable Care Organization leaders explore approaches to segmenting high-need, high-cost populations.

Brief/Report

January 2019

Cross-sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships

A unique cross-sector partnership involving health care, police, and emergency services improved health care utilization in this rural health system pilot.

Peer-Reviewed Article

October 2019

Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health

Recommendations for integrating social and health care to improve the nation’s health.

Brief/Report

September 2019

Impact of Social Needs Navigation on Utilization Among High Utilizers in a Large Integrated Health System

Impact of social needs navigation program on future utilization of patients with prior high utilization.

Peer-Reviewed Article

November 2019

Are Medicare Advantage Plans Using New Supplemental Benefit Flexibility to Address Enrollees’ Health-Related Social Needs?

Multiple factors, including geographic variation in available resources, may limit take-up among MA plans of new benefit flexibilities.

Brief/Report

January 2019

Great Plains Senior Services Collaborative: Transforming Lives in America’s Rural Communities

A model to improve health and quality of life for rural seniors.

Case Example

July 2019

In Support of Family Caregivers: A Snapshot of Five States

Family caregivers are an integral part of health care and the economy, and they need states’ support.

Brief/Report

June 2019

Can Health Plans that Address Non-Medical Needs Lower Health Care Costs?

Long-term services and supports may reduce medical utilization.

Brief/Report

May 2019

A Turning Point in Medicare Policy: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill

How to implement the new Medicare benefits.

Implementation Tool

July 2019

‘Eyes in The Home’: ACOs Use Home Visits to Improve Care Management, Identify Needs, And Reduce Hospital Use

How home visits are used by ACOs to improve care, lower costs.

Peer-Reviewed Article

June 2019

Care Management for Older Adults: The Roles of Nurses, Social Workers, and Physicians

How staff composition affects care delivery for older adults.

Peer-Reviewed Article

June 2019

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The Common Attributes of Successful Care Manager Programs for High-Need, High-Cost Persons: A Cross-Case Analysis

Upstream With a Small Paddle: How ACOs Are Working Against the Current to Meet Patients’ Social Needs

Impact of Complex Care Management on Spending and Utilization for High-Need, High-Cost Medicaid Patients

A Novel Intervention for High-Need, High-Cost Patients: A Study of ECHO Care

ECHO Care: Providing Multidisciplinary Specialty Expertise to Support the Care of Complex Patients

Health Care Hotspotting — A Randomized, Controlled Trial

Best Practice Caregiving: Guiding Organizations to Dementia Programs for Family Caregivers

Targeting High-Need Beneficiaries in Medicare Advantage: Opportunities to Address Medical and Social Needs

Using Self-Reported Data to Segment Older Adult Populations with Complex Care Needs

How Accountable Care Organizations Use Population Segmentation to Care for High-Need, High-Cost Patients

Cross-sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships

Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health

Impact of Social Needs Navigation on Utilization Among High Utilizers in a Large Integrated Health System

Are Medicare Advantage Plans Using New Supplemental Benefit Flexibility to Address Enrollees’ Health-Related Social Needs?

Great Plains Senior Services Collaborative: Transforming Lives in America’s Rural Communities

In Support of Family Caregivers: A Snapshot of Five States

Can Health Plans that Address Non-Medical Needs Lower Health Care Costs?

A Turning Point in Medicare Policy: Guiding Principles for New Flexibility Under Special Supplemental Benefits for the Chronically Ill

‘Eyes in The Home’: ACOs Use Home Visits to Improve Care Management, Identify Needs, And Reduce Hospital Use

Care Management for Older Adults: The Roles of Nurses, Social Workers, and Physicians