Displaying 41 - 60 of 67

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

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

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

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

June 2019

For the Uninsured in Memphis, a Stronger Safety Net

Moving patients out of the ED and into community support.

Case Example

September 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 Coordination Toolkit

How ACOs can improve care coordination.

Implementation Tool

March 2019

Identifying and Designing the Right Care Management Program: Insights from ACOs

Four care management models for ACOs.

Implementation Tool

April 2019

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

November 2018

How ACOs Are Caring for People with Complex Needs

An analysis of the National Survey of ACOs

Brief/Report

December 2018

Going Beyond Clinical Care to Reduce Health Care Spending

A regional approach to health care transformation.

Peer-Reviewed Article

July 2018

Active Redesign of a Medicaid Care Management Strategy for Greater Return on Investment: Predicting Impactability

This resource describes one tool to identify patients most likely to benefit from care management.

Peer-Reviewed Article

April 2018

Integrating Health Care for High-Need Medicaid Beneficiaries With Serious Mental Illness and Chronic Physical Health Conditions at Managed Care, Provider, and Consumer Levels

This resource describes the value of navigators for Medicaid beneficiaries with mental illness.

Peer-Reviewed Article

June 2017

Community Health Worker Support for Disadvantaged Patients with Multiple Chronic Diseases: A Randomized Clinical Trial

This resource describes the benefits of community health workers for people with multiple chronic conditions.

Peer-Reviewed Article

October 2017

Managing Effectively in Complex Chronic Care Markets

This resource provides a road map for health plans to improve Medical Loss Ratio.

Peer-Reviewed Article

February 2018

Bending the Spending Curve: The Role of Care Management in a Pioneer ACO

ACOs have lowered costs for high-need patients through care management programs focused on modifiable spending.

Peer-Reviewed Article

May 2017

CareMore: Improving Outcomes and Controlling Health Care Spending for High-Needs Patients

CareMore’s business model identifies high-risk patients and surrounds them with coordinated services

Case Example

March 2017

Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use

Home visits can reach patients with complex needs before a higher level of care is needed

Peer-Reviewed Article

March 2017

The Business Case for Community Paramedicine: Lessons from Commonwealth Care Alliance’s Pilot Program

Cost considerations for the expansion of mobile integrated health care and community paramedicine programs.

Case Example

December 2016

Community Care Teams: An Overview of State Approaches

The composition of teams varies depending on state staffing requirements and community resources.

Brief/Report

March 2016

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

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

Health Care Hotspotting — A Randomized, Controlled Trial

Time and Effort in Care Coordination for Patients with Complex Health and Social Needs: Lessons From a Community-Based Intervention

For the Uninsured in Memphis, a Stronger Safety Net

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

Care Coordination Toolkit

Identifying and Designing the Right Care Management Program: Insights from ACOs

Outpatient Complex Case Management: Health System-Tailored Risk Stratification Taxonomy to Identify High-Cost, High-Need Patients

How ACOs Are Caring for People with Complex Needs

Going Beyond Clinical Care to Reduce Health Care Spending

Active Redesign of a Medicaid Care Management Strategy for Greater Return on Investment: Predicting Impactability

Integrating Health Care for High-Need Medicaid Beneficiaries With Serious Mental Illness and Chronic Physical Health Conditions at Managed Care, Provider, and Consumer Levels

Community Health Worker Support for Disadvantaged Patients with Multiple Chronic Diseases: A Randomized Clinical Trial

Managing Effectively in Complex Chronic Care Markets

Bending the Spending Curve: The Role of Care Management in a Pioneer ACO

CareMore: Improving Outcomes and Controlling Health Care Spending for High-Needs Patients

Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use

The Business Case for Community Paramedicine: Lessons from Commonwealth Care Alliance’s Pilot Program

Community Care Teams: An Overview of State Approaches