Displaying 161 - 180 of 201

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

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

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

Impact of Supportive Housing on Substance Use-Related Health Care Utilization Among Homeless Persons who are Active Substance Users

Supportive housing placement for people with substance use disorder (SUD) who are homeless reduces SUD-related health care utilization.

Peer-Reviewed Article

April 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

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

May 2018

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

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

January 2019

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

February 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

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

May 2018

How ACOs Are Caring for People with Complex Needs

An analysis of the National Survey of ACOs

Brief/Report

December 2018

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

December 2018

Going Beyond Clinical Care to Reduce Health Care Spending

A regional approach to health care transformation.

Peer-Reviewed Article

July 2018

A New Hospitalist Model for Managing High-Cost, High-Need Patients

A hospitalist model for complex care.

Case Example

October 2018

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

Supplementing primary care with team-based management.

Peer-Reviewed Article

June 2019

Academic Medical Centers and High-Need, High-Cost Patients: A Call to Action

This resource describes how academic medical centers can reshape the health system for patients with complex needs.

Peer-Reviewed Article

November 2018

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

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

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

Impact of Supportive Housing on Substance Use-Related Health Care Utilization Among Homeless Persons who are Active Substance Users

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

Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study

Care Coordination Toolkit

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

Outcomes of a Citywide Campaign to Reduce Medicaid Hospital Readmissions with Connection to Primary Care Within 7 Days of Hospital Discharge

Quick Reference Guide to Promising Care Models

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

Impact of a Complex Chronic Care Patient Case Conference on Quality and Utilization

How ACOs Are Caring for People with Complex Needs

Blueprint for Complex Care: Advancing the Field of Care for Individuals with Complex Health and Social Needs

Going Beyond Clinical Care to Reduce Health Care Spending

A New Hospitalist Model for Managing High-Cost, High-Need Patients

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization

Academic Medical Centers and High-Need, High-Cost Patients: A Call to Action