All Resources

Challenges and Opportunities in Caring for High-Need, High-Cost Medicare Patients

This resource analyzes a number of specific care models that serve Medicare-only individuals and proposes five main policy barriers and potential strategies to address these barriers.  

Clarifying Multimorbidity Patterns to Improve Targeting and Delivery of Clinical Services for Medicaid Populations

To inform the delivery of targeted care for the highest-need beneficiaries, this resource examines comorbidity patterns among Medicaid beneficiaries under 65 years old with disabilities.

Community Care Teams: An Overview of State Approaches

This resource provides information about CCTs, including an overview of core program features, governance structures, financing, and health informatics.

Digital Health Innovation Super-Utilizer Challenge: Themes and Lessons

This resource describes opportunities to use digital health products for high-need, high-cost populations.

Hospital Readmissions among Medicaid Beneficiaries with Disabilities: Identifying Targets of Opportunity

This resource examines Medicaid beneficiaries with disabilities who were hospitalized during 2003–2005 in order to identify opportunities to reduce hospital readmission rates in this population.

Key Ingredients for Successful Trauma-Informed Care Implementation

This resource, based on interviews with experts across the US, summarizes the key features of a trauma-informed approach to care. It includes a chart with descriptions of different approaches.

Key Reasons to Integrate Physical and Behavioral Health Services in Medicaid

This resource describes the costs of Medicaid beneficiaries’ physical and behavioral health needs.

Lessons from the Front Lines: Insights into Trauma-Informed Care for Medicaid’s Complex Populations

This resource provides an overview of trauma-informed care, mainly through a webinar presentation from two organizations that practice it: CareOregon in Oregon, and Camden Coalition of Healthcare P

Medicaid Accountable Care Organizations: State Update

This resource is a fact sheet about Medicaid ACOs, which align provider and payer incentives to focus on value instead of volume.

Programs Focusing on High-Need, High-Cost Populations

This resource provides a map and chart with an inventory of innovative complex care programs at varying stages of development throughout the United States.

State Contracting with Medicare Advantage Dual Eligible Special Needs Plans: Issues and Options

D-SNPs are a type of Medicare Advantage plan that serve beneficiaries enrolled in both Medicare and Medicaid.

State Trends in the Delivery of Medicaid Long-Term Services and Supports

States are increasingly establishing MLTSS programs, which integrate person-centered health care with other support services.

Key Questions

Find curated resources about promising approaches to improving care for people with complex needs.