Displaying 81 - 99 of 99

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

Going Beyond Clinical Care to Reduce Health Care Spending

A regional approach to health care transformation.

Peer-Reviewed Article

July 2018

Active Redesign of a Medicaid Care Management Strategy for Greater Return on Investment: Predicting Impactability

This resource describes one tool to identify patients most likely to benefit from care management.

Peer-Reviewed Article

April 2018

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

Community Health Worker Support for Disadvantaged Patients with Multiple Chronic Diseases: A Randomized Clinical Trial

This resource describes the benefits of community health workers for people with multiple chronic conditions.

Peer-Reviewed Article

October 2017

House Calls: California Program For Homebound Patients Reduces Monthly Spending, Delivers Meaningful Care

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

Peer-Reviewed Article

January 2016

CareMore: Improving Outcomes and Controlling Health Care Spending for High-Needs Patients

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

Case Example

March 2017

Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use

Home visits can reach patients with complex needs before a higher level of care is needed

Peer-Reviewed Article

March 2017

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

The Business Case for Community Paramedicine: Lessons from Commonwealth Care Alliance’s Pilot Program

Cost considerations for the expansion of mobile integrated health care and community paramedicine programs.

Case Example

December 2016

Intensive Outpatient Care Program Toolkit

The staff position of care coordinator is crucial to success.

Implementation Tool

December 2016

Developing Care Management Programs to Serve High-Need, High-Cost Populations

Care management programs should include processes for evaluating patient-reported outcomes.

Brief/Report

February 2016

Care Management Plus: Strengthening Primary Care for Patients with Multiple Chronic Conditions

A program to help clinics deliver comprehensive care may decrease mortality and hospitalization rates.

Case Example

December 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

Caring for High-Need, High-Cost Patients: What Makes for a Successful Care Management Program?

A comparison of 18 complex care management programs reveals best practices.

Brief/Report

August 2014

The Core of Care Management: The Role of Authentic Relationships in Caring for Patients with Frequent Hospitalizations

This study links “authentic healing relationships” with patient motivation and active health management.

Peer-Reviewed Article

August 2016

Guided Care: A Structured Approach to Providing Comprehensive Primary Care for Complex Patients

Guided Care is designed to strike a balance between telephone-based and interdisciplinary team-based care management programs.

Case Example

October 2016

Models of Care for High-Need, High-Cost Patients: An Evidence Synthesis

Much of the evidence comes from small studies, so further testing is needed.

Brief/Report

October 2015

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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

Going Beyond Clinical Care to Reduce Health Care Spending

Active Redesign of a Medicaid Care Management Strategy for Greater Return on Investment: Predicting Impactability

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

Community Health Worker Support for Disadvantaged Patients with Multiple Chronic Diseases: A Randomized Clinical Trial

House Calls: California Program For Homebound Patients Reduces Monthly Spending, Delivers Meaningful Care

CareMore: Improving Outcomes and Controlling Health Care Spending for High-Needs Patients

Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use

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

The Business Case for Community Paramedicine: Lessons from Commonwealth Care Alliance’s Pilot Program

Intensive Outpatient Care Program Toolkit

Developing Care Management Programs to Serve High-Need, High-Cost Populations

Care Management Plus: Strengthening Primary Care for Patients with Multiple Chronic Conditions

Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries

Caring for High-Need, High-Cost Patients: What Makes for a Successful Care Management Program?

The Core of Care Management: The Role of Authentic Relationships in Caring for Patients with Frequent Hospitalizations

Guided Care: A Structured Approach to Providing Comprehensive Primary Care for Complex Patients

Models of Care for High-Need, High-Cost Patients: An Evidence Synthesis