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 213
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
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
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
Taxonomy of Long-Term Services and Supports Integration
A standardized tool to assess where along a continuum a program lies with regard to components of integration.
Implementation Tool
The Opioid Use Disorder Prevention Playbook
Strategies for preventing opioid use disorder.
Implementation Tool
Health Care Transformation Task Force Value Partnership Evaluation Tool
A tool for assessing readiness for value-based partnerships.
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
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
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
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
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