This resource describes a study of five plans that integrate LTSS into care.
This resource provides a framework for understanding the nature and extent of integration in programs that integrate LTSS with medical care and behavioral health.
This resource used national survey data from physician practices and ACOs, paired with qualitative interviews, to learn about home visiting programs.
This resource analyzes preventable ED visits and identifies mechanisms for preventing them.
This resource describes an effort to apply a learning health systems approach to reducing ED utilization.
This resource describes four care management models that ACOs are using for individuals with complex needs.
This resource, the Partnership Evaluation Tool, is intended to help organizations assess readiness to engage in successful value-based partnerships.
This resource describes the strategies employed by ACOs that have comprehensive care management programs for complex patients.
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 is a calculator designed to assist community-based organizations and their health care partners in creating financial arrangements to fund social services for patien
Find curated resources about promising approaches to improving care for people with complex needs.
22 Practical Plays