Providing Non-Medical Supplemental Benefits in Medicare Advantage
Outlines practical steps for implementing flexible supplemental benefit offerings in Medicare Advantage plans.
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Displaying 261 - 280 of 375
A Systematic Review of Intensive Outpatient Care Programs for High-Need, High-Cost Patients
Demonstrates that intensive outpatient care programs show promise in reducing utilization and costs and improving patient outcomes for high-need, high-cost populations.
Peer-Reviewed Article
Effect of a Community-Based Nursing Intervention on Mortality in Chronically Ill Older Adults: A Randomized Controlled Trial
Indicates that a community-based nurse care management model reduced all-cause mortality for older adults with chronic conditions.
Peer-Reviewed Article
Medicare Advantage Supplemental Benefit Flexibilities: Adoption of and Access to Newly Expanded Supplemental Benefits in 2020
Analysis of expanded supplemental benefit adoption for Medicare Advantage enrollees
Brief/Report
Development and Implementation of a Complex Health System Intervention Targeting Transitions of Care from Hospital to Post-Acute Care
A complex care transitions pilot designed through a stakeholder-driven process led to decreased hospital utilization and costs.
Peer-Reviewed Article
Identifying Patients with Persistent Preventable Utilization Offers an Opportunity to Reduce Unnecessary Spending
Medicare patients with the top five percent in preventable utilization account for almost half of all avoidable Medicare costs.
Peer-Reviewed Article
Creating Value for Communities: Los Angeles County's Investment in Housing for Health
Lessons from Los Angeles County’s Housing for Health program to reduce homelessness.
Peer-Reviewed Article
Permanent Supportive Housing With Housing First to Reduce Homelessness and Promote Health Among Homeless Populations With Disability: A Community Guide Systematic Review
Housing First programs reduce homelessness and health care use more effectively than Treatment First approaches.
Peer-Reviewed Article
The Guide to Integrating Palliative Care into Population Management
Practical strategies for health plans and ACOs to improve care for patients with serious illness.
Implementation Tool
Where is the Break-even Point for Community Health Workers? Using National Data and Local Programmatic Costs to Find the Break-even Point for a Metropolitan Community Health Worker Program
Community health worker programs can offset program costs through reduced utilization.
Peer-Reviewed Article
Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
The value of community health workers in advancing health equity.
Brief/Report
Effects of a Standardized Community Health Worker Intervention on Hospitalization Among Disadvantaged Patients with Multiple Chronic Conditions: A Pooled Analysis of Three Clinical Trials
Using community health workers can reduce hospitalizations in high-risk patients.
Peer-Reviewed Article
Demonstrated Health Care Cost Savings for Women: Findings from a Community Health Worker Intervention Designed to Address Depression and Unmet Social Needs
CHW intervention reduced health care costs and utilization for low-income women with depression.
Peer-Reviewed Article
Health Care Access Now: Calculating the ROI of a Care Coordination Program to Address Social Determinants of Health
Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.
Case Example
Homage: Calculating the ROI of a Partnership to Meet the Health-Related Social Needs of Medicare Advantage Plan Members
How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?
Case Example
Caring for Older Adults with Complex Needs in the COVID-19 Pandemic: Lessons from PACE Innovations
Highlighted innovations adopted by PACE organizations during the pandemic to provide care for older adults with complex needs.
Webinar
Measuring Complexity: Moving Toward Standardized Quality Measures for the Field of Complex Care
Effective complex care measures vary widely and need to be standardized to better align the field of complex care.
Brief/Report
Integrated Care Models and Behavioral Health Care Utilization: Quasi-Experimental Evidence from Medicaid Health Homes
Health homes may increase access to mental health care and substance use disorder treatment in Medicaid enrollees with serious mental illness and/or substance use disorders.
Peer-Reviewed Article
Identifying Patients with Increased Risk of Severe Covid-19 Complications: Building an Actionable Rules-Based Model for Care Teams
Provider-based model identifies patients at highest risk for complications from COVID-19.
Peer-Reviewed Article
Embedding Social Workers In Veterans Health Administration Primary Care Teams Reduces Emergency Department Visits
Social workers on rural primary care teams may help decrease high-risk veterans’ acute care use.
Peer-Reviewed Article