"1" Resources

This resource describes the 7-Day Pledge program to reduce readmissions by increasing access to timely primary care appointments after hospitalization.

This resource offers a variety of materials about “personas” for different segments of the high-need patient population.

Based on a review of the evidence, the Quick Reference Guide to Promising Care Models offers summary information on 2

This resource evaluates the impact of an interprofessional case conference approach in an academic primary care clinic.

This resource provides an evaluation of a health system’s outpatient complex case management (OPCM) program and examines whether OPCM lowers service utilization and he

This resource assesses the characteristics and health care utilization of high-cost patients and compares high-cost patients across payers and countries, based on a systemat

This resource describes the findings from a symposium called “The Dual Imperative: What’s Next for Medicare-Medicaid Enrollees,” which brought together policymakers, consume

This resource identifies features of intensive outpatient programs that increase patient engagement.

This resource describes how HBPC practices assess the non-medical social needs of older adults who are homebound and identifies barriers to coordinating home and commu

This resource describes the strategies employed by ACOs that have comprehensive care management programs for complex patients.

This resource reviews interventions for frequently hospitalized patients and assesses the effectiveness of these interventions.

This resource curates resources from experts across the country in the field of trauma-informed care.