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Displaying 601 - 620 of 829
Can Health Plans that Address Non-Medical Needs Lower Health Care Costs?
Long-term services and supports may reduce medical utilization.
Brief/Report
Addressing Health Equity through Health and Housing Partnerships
Strategies for health centers and supportive housing providers to advance health equity by partnering to provide person-centered care.
Implementation Tool
Integrated Home- and Community-Based Services Improve Community Survival Among Independence at Home Medicare Beneficiaries Without Increasing Medicaid Costs
Home-based primary care integrated with long-term services and supports in the community can delay long-term institutionalization in frail older adults without increased costs for home- and community-based services.
Peer-Reviewed Article
An Outsourcing Strategy to Expand the Use of Palliative Care
Describes Summit Medical Group’s experience integrating palliative care services and offers advice for other ACOs that are struggling to expand palliative care services and looking for a path forward.
Blog
April 2019
Home-Based Primary Care Fall Prevention and Management Toolkit
Shares best practices and screening tool options to identify and care for home-based primary care patients with potential fall risks.
Implementation Tool
Impact of Supportive Housing on Substance Use-Related Health Care Utilization Among Homeless Persons who are Active Substance Users
Supportive housing placement for people with substance use disorder (SUD) who are homeless reduces SUD-related health care utilization.
Peer-Reviewed Article
Identifying and Designing the Right Care Management Program: Insights from ACOs
Four care management models for ACOs.
Implementation Tool
Home Alone Revisited: Family Caregivers Providing Complex Care
Includes national survey data on family caregivers and their experiences in managing complex medical and nursing tasks for their family members at home, as well as recommendations to improve the supports for family caregivers.
Brief/Report
State Pathways to Integrated Care: Exploring Options for Medicare-Medicaid Integration
Outlines steps states can take to advance Medicare-Medicaid integration depending on policy goals, internal capacity, and delivery system structures.
Implementation Tool
The Role of Social, Cognitive, and Functional Risk Factors in Medicare Spending for Dual and Nondual Enrollees
Details how dually enrolled beneficiaries have significantly higher levels of comorbidities and higher costs of care than their non-dually enrolled counterparts.
Peer-Reviewed Article
Telemedicine-Delivered Treatment Interventions for Substance Use Disorders: A Systematic Review
Telehealth may address barriers to accessing substance use disorder interventions and is a promising alternative to in-person treatment.
Peer-Reviewed Article
The Complex Care Hospitalist Program at Boston Medical Center
Caroline Morgan Berchuck, MD, describes a promising new complex care hospitalist model that aims to address this fragmentation and support people with complex needs in realizing better health outcomes.
Blog
March 2019
Dispatch Health: Reducing Avoidable Emergency Department Use Through On-Demand Acute Care Delivered to Patients in Their Homes
Dr. Mark Prather, emergency physician and founder of Dispatch Health, shares how his organization provides on-demand home visits in 10 metropolitan areas and provided nearly visits to nearly 100,000 visits to patients last year.
Blog
March 2019
The Serious Illness Care Program at Ariadne Labs
Rachelle Bernacki, MD, discusses developing, implementing, and scaling the Serious Illness Care Program at Ariadne Labs, including a few surprises and challenges from along the way.
Blog
March 2019
Is Co-Design the Key to Successful Complex Care Management?
What typically happens when a clinician meets a patient with complex care needs? Co-designing care is especially important when the care is for people with complex needs. Here are some tips for co-designing complex care management.
Blog
March 2019
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
Health Care Transformation Task Force Value Partnership Evaluation Tool
A tool for assessing readiness for value-based partnerships.
Implementation Tool
Effect of the Serious Illness Care Program in Outpatient Oncology: A Cluster Randomized Clinical Trial
Improving communication with patients with advanced cancer
Peer-Reviewed Article