Resources

Family caregivers play a foundational role in the care of older adults with complex needs and disabilities from both a health care and economic standpoint.

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 analyzes preventable ED visits and identifies mechanisms for preventing them.

This resource is a toolkit to help payers and providers understand how home-based primary care (HBPC) improves quality and reduces costs for seriously ill and home-limited o

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 builds on the seminal Home Alone study, the first national examination at how family caregivers manage medical and nursing tasks. Major findi

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 outlines the current state of complex care and recommendations for the future. 

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