Resources

This resource is a toolkit highlighting innovative care coordination strategies used by Medicare ACOs.

This resource is a toolkit for identifying patients with various physical, functional, emotional, social, and spiritual needs.

This resource is a study evaluating an alternative in-hospital assessment to determine the need for continuing care after discharge.

This resource provides an evaluation of a health system’s outpatient complex case management (OPCM) program and examines whether OPCM lowers service utilization and he

This resource assesses the characteristics and health care utilization of high-cost patients and compares high-cost patients across payers and countries, based on a systemat

This resource analyzes the drivers of cost for Medicare-Medicaid beneficiaries, particularly looking at the differences between persistent and transient high costs.

This resource describes observations about root causes of high care utilization that emerged from a four-year intervention in a large population of patients with complex needs.

This resource is a Disability-Competent Care Self-Assessment Tool.