This guide describes key strategies for health plans, accountable care organizations, and health systems to improve care for people with serious illness.

Describes the core elements and evidence base behind a home- and community-based palliative care model that was designed by stakeholders to support the health needs of people with serious illness.

Segmentation framework with publicly available code files identifies specific and actionable patient cohorts with complex needs.

Contains practical guides, tools, and other resources for developing complex care programs.

Health care organizations can use population-level data sources about the experiences of people with disabilities to improve care.

This toolkit shares business strategies, sample protocols, and best practice clinical tools for health care providers interested in developing a home-based palliative care program.

Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations.

This toolkit details the benefits of home-based primary care to help providers demonstrate the need for these programs.

A tool for assessing readiness for value-based partnerships.

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

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

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.

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

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

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

A calculator that can help build and present business case for serving adults with complex needs.

A standardized tool to assess where along a continuum a program lies with regard to components of integration.

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

The benefits of, incentives for, and various models to deliver palliative care are described.