How to implement the new Medicare benefits.

This resource is an updated quick reference guide to promising models for people with complex needs.

Maximizing the impact of outpatient complex case management.

Meeting the needs of older adults who are homebound.

Analyzes the largest drivers of high costs among persistently high-cost Medicare-Medicaid beneficiaries, and finds most spending related to long-term care.

A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

This resource describes how MA could lead the way in diffusing new care and payment models.

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

This resource collects the most innovative initiatives in Medicaid managed care that emerge each year.

California is asking Medicaid patients these ten questions about social and functional needs.

A brief summarizes what you need to know about the new Chronic Care Act.

This framework can help you design programs for patients with serious illnesses.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.

A study of five programs identified key factors that support collaboration among community-based health and social services.

A novel approach to home visiting delivers cost reduction and better care

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.