Displaying 121 - 138 of 138

Effect of Intensive Interdisciplinary Transitional Care for High-Need, High-Cost Patients on Quality, Outcomes, and Costs: A Quasi-Experimental Study

The benefits of a transitional care program.

Peer-Reviewed Article

July 2019

Impact of Physicians, Nurse Practitioners, and Physician Assistants on Utilization and Costs for Complex Patients

Nurse practitioners and physician assistants are associated with lower costs.

Peer-Reviewed Article

June 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

How ACOs Are Caring for People with Complex Needs

An analysis of the National Survey of ACOs

Brief/Report

December 2018

Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community

Reviews lessons from the Program of All-Inclusive Care for the Elderly on serving high-need populations in community settings.

Case Example

August 2016

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

June 2017

Building Complex Care Programs: A Road Map for States

This guide for state leaders offers lessons about state-level approaches to complex care.

Implementation Tool

October 2017

Designing a Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers

An international expert group offers ten policy recommendations and profiles of innovative care models.

Brief/Report

September 2017

Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals

Case studies of two community hospitals show how to advance accountable care.

Case Example

March 2018

Effective Care for High-Need Patients: Opportunities for Improving Value, Outcomes and Health

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

Brief/Report

June 2017

New Models of Primary Care Workforce and Financing: Case Example #1: Stanford Coordinated Care

Stanford Coordinated Care provides university employees with complex health needs better care at a lower cost

Case Example

October 2016

Home-Based Care Program Reduces Disability and Promotes Aging in Place

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

Peer-Reviewed Article

September 2016

Community Care Teams: An Overview of State Approaches

The composition of teams varies depending on state staffing requirements and community resources.

Brief/Report

March 2016

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

Experts describe how delivery systems can effectively serve adults with complex needs.

Brief/Report

September 2016

Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries

By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.

Case Example

October 2016

Project ECHO’s Complex Care Initiative: Building Capacity to Help “Superutilizers”

Interdisciplinary teams provide support for Medicaid beneficiaries with mental illnesses, addictions, and other needs.

Case Example

August 2016

Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs

Key opportunities include strengthening information technology connections across service providers.

Brief/Report

September 2015

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Effect of Intensive Interdisciplinary Transitional Care for High-Need, High-Cost Patients on Quality, Outcomes, and Costs: A Quasi-Experimental Study

Impact of Physicians, Nurse Practitioners, and Physician Assistants on Utilization and Costs for Complex Patients

Quick Reference Guide to Promising Care Models

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

How ACOs Are Caring for People with Complex Needs

Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community

Integrating Health Care for High-Need Medicaid Beneficiaries With Serious Mental Illness and Chronic Physical Health Conditions at Managed Care, Provider, and Consumer Levels

Building Complex Care Programs: A Road Map for States

Designing a Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers

Complex Care Models to Achieve Accountable Care Readiness: Lessons from Two Community Hospitals

Effective Care for High-Need Patients: Opportunities for Improving Value, Outcomes and Health

New Models of Primary Care Workforce and Financing: Case Example #1: Stanford Coordinated Care

Home-Based Care Program Reduces Disability and Promotes Aging in Place

Community Care Teams: An Overview of State Approaches

What Matters Most: Essential Attributes of a High-Quality System of Care for Adults with Complex Care Needs

Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries

Project ECHO’s Complex Care Initiative: Building Capacity to Help “Superutilizers”

Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs