Accountable Care Organization Care Transformation Toolkit
Provides practical steps for current or potential future Medicare accountable care organizations to transform the delivery of care.
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Implementing Best Practices in Dementia Care
Clinical tools, training resources, and case studies of evidence-based care models that support people living with dementia and their caregivers.
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Person-Centered Engagement at the Organizational Level
Contains strategies, tips, and case studies to assist health care stakeholders in building meaningful, person-centered engagement in their organizations.
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Identifying and Designing the Right Care Management Program: Insights from ACOs
Four care management models for ACOs.
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The Guide to Integrating Palliative Care into Population Management
Practical strategies for health plans and ACOs to improve care for patients with serious illness.
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The ROI Calculator for Partnerships to Address the Social Determinants of Health
A web-based financial tool that helps navigate partnerships between health care organizations and social service organizations.
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Accountable Care Atlas: A Development Guide for Competency Implementation
This resources describes the competencies organizations need to transition to value-based payment.
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The Care Transitions Intervention
The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.
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Taxonomy of Long-Term Services and Supports Integration
A standardized tool to assess where along a continuum a program lies with regard to components of integration.
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Overview of Segmentation of High-Need, High-Cost Patient Population
There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.
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