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
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Displaying 161 - 180 of 212
Time and Effort in Care Coordination for Patients with Complex Health and Social Needs: Lessons From a Community-Based Intervention
Staff time effort in complex care coordination programs is highly variable depending on patients’ health and social needs.
Peer-Reviewed Article
Effect of Intensive Interdisciplinary Transitional Care for High-Need, High-Cost Patients on Quality, Outcomes, and Costs: A Quasi-Experimental Study
The benefits of a transitional care program.
Peer-Reviewed Article
For the Uninsured in Memphis, a Stronger Safety Net
Moving patients out of the ED and into community support.
Case Example
Impact of Physicians, Nurse Practitioners, and Physician Assistants on Utilization and Costs for Complex Patients
Nurse practitioners and physician assistants are associated with lower costs.
Peer-Reviewed Article
‘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
Effects of a Transitional Care Practice for a Vulnerable Population: A Pragmatic, Randomized Comparative Effectiveness Trial
Lower inpatient admissions rates in a transitional care intervention.
Peer-Reviewed Article
Home-Based Primary Care Resources: A Toolkit for Health Partners
This toolkit details the benefits of home-based primary care to help providers demonstrate the need for these programs.
Implementation Tool
Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study
The psychological benefits of case management.
Peer-Reviewed Article
Identifying and Designing the Right Care Management Program: Insights from ACOs
Four care management models for ACOs.
Implementation Tool
Outcomes of a Citywide Campaign to Reduce Medicaid Hospital Readmissions with Connection to Primary Care Within 7 Days of Hospital Discharge
The importance of timely primary care follow-up.
Peer-Reviewed Article
Quick Reference Guide to Promising Care Models
This resource is an updated quick reference guide to promising models for people with complex needs.
Brief/Report
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
Impact of a Complex Chronic Care Patient Case Conference on Quality and Utilization
The case conference approach to caring for complex patients.
Peer-Reviewed Article
How ACOs Are Caring for People with Complex Needs
An analysis of the National Survey of ACOs
Brief/Report
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
Going Beyond Clinical Care to Reduce Health Care Spending
A regional approach to health care transformation.
Peer-Reviewed Article
A New Hospitalist Model for Managing High-Cost, High-Need Patients
A hospitalist model for complex care.
Case Example
Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization
Supplementing primary care with team-based management.
Peer-Reviewed Article