This resource used national survey data from physician practices and ACOs, paired with qualitative interviews, to learn about home visiting programs.
This resource describes an effort to apply a learning health systems approach to reducing ED utilization.
This resource describes a study of the Johns Hopkins Community Health Partnership (J-CHiP), which was created as a regional approach to health care transformation in Baltimo
This resource describes a randomized quality improvement trial that assessed whether augmenting usual primary care with team-based intensive management lowers utilization and cost
This resource describes the evolution of complex care management targeting strategies in Community Care of North Carolina’s (CCNC) work with the statewide non-dual Medicaid popula
This resource describes the Complex Care Map (CCM ©), a tool that addresses fragmentation in the health system and helps providers understand the patient’s story.
This resource describes a care guidance index based on what matters to patients.
This study examined five programs that serve patients with complex needs through medical and non-medical services.
This viewpoint article argues that policy can play an important role in improving outcomes for people with complex needs in the US, and it makes several recommendations for the current federal admi
The problem of the high cost of health care has centered on reducing spending among the patients who use the most health care services.
This resource explores why it’s not necessarily true that care coordination and cost savings go hand in hand — and the dangers of this common myth.
This resource describes the mission of the National Center for Complex Health and Social Needs and examines several versions of integrated care models, including the Camden Coalition of Healthcare
Find curated resources about promising approaches to improving care for people with complex needs.
22 Practical Plays