CareMore’s business model identifies high-risk patients and surrounds them with coordinated services

This resource collects the most innovative initiatives in Medicaid managed care that emerge each year.

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

Dual-eligible beneficiaries are often more sick, have greater functional and cognitive impairments, and require more care coordination.

Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked.

Improving care for high-need, high-cost patients is a key lever to decrease national health spending.

The program offers a lower-cost alternative to the hospital for patients who can be safely treated at home.

Provider incentives must be based on Triple Aim outcomes.

Successful long-term services and supports programs have a single point of accountability, such as a care manager.

A study of five programs identified key factors that support collaboration among community-based health and social services.

A novel approach to home visiting delivers cost reduction and better care

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.

Describes practical health plan strategies for hiring and training care managers for dual eligible enrollees with complex needs.

A three-pronged strategy can help manage care for Medicare beneficiaries.

In nursing homes, replacing on-call physician services during off-hours with direct contact via telemedicine may reduce Medicare spending through fewer avoidable hospitalizations.