Resources

Despite mounting evidence for community health workers (CHWs) and peer providers improving health outcomes, the expansion of the community-based workforce in the health care system has been limited...
A majority of mature accountable care organizations (ACOs) segment their high-need, high-cost (HNHC) population into smaller subgroups to better identify those with similar needs, employing a range of...
While Medicare Advantage (MA) plans have new flexibility to target and cover supplemental benefits that address health-related social needs, few plans provided these types of benefits in 2019...
This resource describes a study of five plans that integrate LTSS into care. The study examined differences in medical utilization by beneficiaries, compared to a population with a similar level of...
This resource describes the strategies employed by ACOs that have comprehensive care management programs for complex patients. This report is from the six-foundation collaborative and is based on...
This resource collects the most innovative initiatives in Medicaid managed care that emerge each year. Health plans submit their best practices for consideration of inclusion in this exclusive...
This resource provides a summary of key components of the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, which was passed and signed on February 9, 2018...
This resource proposes a framework to help guide the development of programs for populations with complex needs. While medical drugs and devices go through a well-established, rigorous development...
This resource examines Medicaid beneficiaries with disabilities who were hospitalized during 2003–2005 in order to identify opportunities to reduce hospital readmission rates in this population. The...
This report explores key issues, spending implications, and existing barriers to meeting the needs of high-need, high-cost patients. It suggests policy options for a new federal administration to...
This resource examines reimbursement structures that serve beneficiaries who are dually eligible for Medicare and Medicaid. It also includes an analysis comparing care patterns for dual-eligible...
As the health care system shifts from a fee-for-service structure to value-based payment programs, it’s important to offer appropriate services across the continuum of care. This resource reviews...