Accountable Care Atlas: A Development Guide for Competency Implementation
This resources describes the competencies organizations need to transition to value-based payment.
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Displaying 81 - 96 of 96
Building Complex Care Programs: A Road Map for States
This guide for state leaders offers lessons about state-level approaches to complex care.
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Disability-Competent Care Self-Assessment Tool
How disability-competent is your organization?
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Serious Illness Conversation Guide
This conversation guide includes specific steps and language for talking about serious illness.
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Peer Support Toolkit
Details the key considerations for providers considering integrating peer services for behavioral health into their health care organizations.
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Intensive Outpatient Care Program Toolkit
The staff position of care coordinator is crucial to success.
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The Care Transitions Intervention
The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.
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The Return on Investment (ROI) Calculator: The Business Case and Person-Centered Care
A calculator that can help build and present business case for serving adults with complex needs.
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Taxonomy of Long-Term Services and Supports Integration
A standardized tool to assess where along a continuum a program lies with regard to components of integration.
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Overview of Segmentation of High-Need, High-Cost Patient Population
There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.
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Multiple Chronic Conditions: A Framework for Education and Training
A framework describes how to train the health care workforce to care for people with multiple chronic conditions.
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Strategies for Hiring and Training Care Managers in Integrated Programs Serving Medicare-Medicaid Beneficiaries
Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.
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Improving Care for People with Serious Illness Through Innovative Payer-Provider Partnerships
The benefits of, incentives for, and various models to deliver palliative care are described.
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Pursuing Financial Sustainability of Person-Centered Care Models
Setting up data collection systems is important to showing value.
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Emergency Department Super-Utilizer Programs: Rural Health Systems Analysis and Technical Assistance Project
This guide describes how to design, implement, and assess a program to reduce preventable ED use.
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Complex Care Management Toolkit
Lessons learned from eight health care organizations can help you design a successful program.
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