Displaying 21 - 36 of 36

Identification and Assessment Toolkit for Patients with Serious Illness

Includes case studies, clinical assessment tools, and other resources for identifying and assessing the needs of patients with serious illness.

Implementation Tool

March 2019

The Guide to Integrating Palliative Care into Population Management

Practical strategies for health plans and ACOs to improve care for patients with serious illness.

Implementation Tool

February 2019

The Opioid Use Disorder Prevention Playbook

Strategies for preventing opioid use disorder.

Implementation Tool

February 2019

Designing and Implementing Home-Based Palliative Care: A Guide for Payers

A practical guide for payers to create a home-based palliative care program centered upon a value-based case example from a payer’s perspective.

Implementation Tool

January 2019

The ROI Calculator for Partnerships to Address the Social Determinants of Health

A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.

Implementation Tool

August 2018

Care Management Contracting for Complex Populations: Best Practices and Tools

This resource offers guidance on contracting for populations with complex needs.

Implementation Tool

July 2018

Investing in Social Services as a Core Strategy for Healthcare Organizations: Developing the Business Case

This resource explains how to invest in social services as a business strategy.

Implementation Tool

March 2018

Disability-Competent Care Self-Assessment Tool

How disability-competent is your organization?

Implementation Tool

October 2017

Intensive Outpatient Care Program Toolkit

The staff position of care coordinator is crucial to success.

Implementation Tool

December 2016

The Care Transitions Intervention

The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.

Implementation Tool

November 2016

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.

Implementation Tool

November 2016

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.

Implementation Tool

April 2016

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.

Implementation Tool

January 2016

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.

Implementation Tool

February 2015

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.

Implementation Tool

January 2014

Pursuing Financial Sustainability of Person-Centered Care Models

Setting up data collection systems is important to showing value.

Implementation Tool

January 2014

All Resources

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Audiences

Content Types

State

Identification and Assessment Toolkit for Patients with Serious Illness

The Guide to Integrating Palliative Care into Population Management

The Opioid Use Disorder Prevention Playbook

Designing and Implementing Home-Based Palliative Care: A Guide for Payers

The ROI Calculator for Partnerships to Address the Social Determinants of Health

Care Management Contracting for Complex Populations: Best Practices and Tools

Investing in Social Services as a Core Strategy for Healthcare Organizations: Developing the Business Case

Disability-Competent Care Self-Assessment Tool

Intensive Outpatient Care Program Toolkit

The Care Transitions Intervention

The Return on Investment (ROI) Calculator: The Business Case and Person-Centered Care

Taxonomy of Long-Term Services and Supports Integration

Overview of Segmentation of High-Need, High-Cost Patient Population

Strategies for Hiring and Training Care Managers in Integrated Programs Serving Medicare-Medicaid Beneficiaries

Improving Care for People with Serious Illness Through Innovative Payer-Provider Partnerships

Pursuing Financial Sustainability of Person-Centered Care Models