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

Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked.

Improving care for high-need, high-cost patients is a key lever to decrease national health spending.

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.

Examines a unique program that seeks to integrate medical, behavioral health, and social services for dual eligible individuals with serious mental illnesses, substance abuse problems, or disabilities.

Dual-eligible beneficiaries are often more sick, have greater functional and cognitive impairments, and require more care coordination.

Provider incentives must be based on Triple Aim outcomes.

The program offers a lower-cost alternative to the hospital for patients who can be safely treated at home.

The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.

Successful long-term services and supports programs have a single point of accountability, such as a care manager.

A three-pronged strategy can help manage care for Medicare beneficiaries.

A study showed that some programs reduced hospitalizations by 8 to 33 percent.

The benefits of, incentives for, and various models to deliver palliative care are described.