This resource describes how to design, implement, and assess a “super-utilizer” (SU) program to address inappropriate care and reduce costs.
With major funding from the Affordable Care Act, the Center for Medicare and Medicaid Innovation (CMMI) is launching and evaluating several initiatives that change financial incentives to reward va
Literature about complex care management rarely represents the patient’s perspective.
This resource describes the Guided Care model of care management and its implementation in two health systems: Lahey Health of Burlington, Massachusetts, and Holy Family Memorial of Manitowoc Count
This resource describes experiments to reinvent health care for Medicaid patients who are especially difficult to help due to poverty.
This resource examines the characteristics and health care experiences of adults with high needs, defined as people with three or more chronic diseases and a functional limitation.
This resource is a case study of Hennepin Health, a safety-net accountable care organization (ACO) in Hennepin County, Minnesota, that aims to reduce costs and improve outcomes for Medicaid benefic
This resource examines health care spending and use of services among adults with high needs, defined as people who have three or more chronic diseases and a functional limitation.
This resource reviews Commonwealth Fund survey data focused on high-need adults ages 65 and older in nine countries — Australia, Canada, France, Germany, the Netherlands, Norway, Sweden, Switzerlan
Palliative care can lead to longer survival and better quality of life for patients, while offering a high-leverage opportunity to reduce costs.
LTSS can improve quality of life for individuals with multiple chronic conditions and functional limitations.
This resource reports the findings from focus groups of adults with three or more health conditions that limit their ability to do things such as get out of bed, dress, or bathe themselves.
Find curated resources about promising approaches to improving care for people with complex needs.
17 Practical Plays
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