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  • What Is Complex Care?
    • Overview
    • Who are adults with complex needs?
    • Why rethink care for this population?
    • What are the features of complex care?
    • What is the complex care business case?
    • What evidence supports complex care?

    Get Started Exploring Resources

    Access our library of articles, tools, case examples, and more on what works in complex care
  • Find Resources by Topic
    • Complex Care Interventions
    • Mental Health & Substance Use
    • Long-Term Services & Supports
    • Serious Illness & Palliative Care
    • Population Identification
    • Interdisciplinary Care Teams
    • Patient & Family Engagement
    • Health-Related Social Needs
    • Program Financing
    • Payment & Managed Care Models
    • Medicare-Medicaid Integration
    • View all resources »
  • Perspectives on Better Care Blog

All Resources

All Resources

Topics

  • Complex Care Interventions
    • Acute Care
    • Care Management
    • Primary Care
    • Program Design & Evaluation
    • (-) Transitional Care
  • Health-Related Social Needs
    • Cross-Sector Partnerships
  • Long-Term Services & Supports
  • Medicare-Medicaid Integration
  • Mental Health & Substance Use
  • Patient & Family Engagement
  • Payment & Managed Care Models
    • Accountable Care Organization
    • Medicare Advantage
    • Value-Based Payment
  • Population Identification
  • Program Financing
  • Serious Illness & Palliative Care

Populations

  • Adults Under 65 with Disabilities
  • Frail Older Adults
  • People with Multiple Chronic Conditions
  • People with Serious Behavioral Health Needs

Audiences

  • (-) Accountable Care Organizations
  • Health Plans and Payers
  • Medicare Advantage Plans
  • Policymakers
  • Providers and Health Systems

Content Types

  • Implementation Tool
  • Peer-Reviewed Article

‘Eyes in The Home’: ACOs Use Home Visits to Improve Care Management, Identify Needs, And Reduce Hospital Use

How home visits are used by ACOs to improve care, lower costs.
Peer-Reviewed Article
June 2019

The Care Transitions Intervention

The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.
Implementation Tool
November 2016

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Resources by Topic

  • Complex Care Interventions
  • Mental Health & Substance Use
  • Long-Term Services & Supports
  • Serious Illness & Palliative Care
  • Population Identification
  • Interdisciplinary Care Teams
  • Patient & Family Engagement
  • Health-Related Social Needs
  • Program Financing
  • Payment & Managed Care Models
  • Medicare-Medicaid Integration
  • COVID-19

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