This resource compares the operational approaches of 18 successful CCM programs for high-need, high-cost patients to offer guidance on best practices.

This resource summarizes the benefits and characteristics of CCTs, including descriptions of several statewide initiatives.

This resource harvests the lessons learned from eight health care organizations that successfully developed programs for individuals with multiple chronic conditions and functional limitations.

This resource, drawing on Medicare survey and claims data, a literature review, and interviews, suggests a three-pronged strategy to manage care for Medicare beneficiaries with medical and social n

This resource describes how to design, implement, and assess a “super-utilizer” (SU) program to address inappropriate care and reduce costs.

With major funding from the Affordable Care Act, the Center for Medicare and Medicaid Innovation (CMMI) is launching and evaluating several initiatives that change financial incentives to reward va

Literature about complex care management rarely represents the patient’s perspective.

This resource describes the Guided Care model of care management and its implementation in two health systems: Lahey Health of Burlington, Massachusetts, and Holy Family Memorial of Manitowoc Count

This resource describes experiments to reinvent health care for Medicaid patients who are especially difficult to help due to poverty.

This resource examines the characteristics and health care experiences of adults with high needs, defined as people with three or more chronic diseases and a functional limitation.

This resource is a case study of Hennepin Health, a safety-net accountable care organization (ACO) in Hennepin County, Minnesota, that aims to reduce costs and improve outcomes for Medicaid benefic

This resource examines health care spending and use of services among adults with high needs, defined as people who have three or more chronic diseases and a functional limitation.