Accountable Care Organization Care Transformation Toolkit
Provides practical steps for current or potential future Medicare accountable care organizations to transform the delivery of care.
Implementation Tool
All Resources
All Resources
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Content Types
Lessons Learned from the Transition from Volume to Value
Describes factors that support health care organizations in transitioning from volume- to value-based payment.
Peer-Reviewed Article
Ten Lessons from the C-Suite: Health Care Leaders Shed Light on Margin, Mission, and the Five Percent
Shares current health care leaders’ perspectives on the emerging field of complex care and how they are working to solve its so-called "margin-mission" tension.
Blog
October 2020
Reimbursement for Evidence-Based Health Promotion Programs in the Community
Details funding opportunities and successful approaches in the adoption of evidence-based health promotion and disease prevention programs within community-based organizations.
Brief/Report
How a Nonprofit Organization Gets Paid to Address Health-Related Social Needs
Highlights how the Commonwealth Fund's social determinants of health ROI calculator can help community-based organizations and health system partners integrate nonmedical services in a financially sustainable way.
Blog
July 2020
Where is the Break-even Point for Community Health Workers? Using National Data and Local Programmatic Costs to Find the Break-even Point for a Metropolitan Community Health Worker Program
Community health worker programs can offset program costs through reduced utilization.
Peer-Reviewed Article
Health Care Access Now: Calculating the ROI of a Care Coordination Program to Address Social Determinants of Health
Demonstrating return-on-investment to advance effective business relationships between community-based organizations and health care partners.
Case Example
Homage: Calculating the ROI of a Partnership to Meet the Health-Related Social Needs of Medicare Advantage Plan Members
How can a community-based organization demonstrate the two-way financial benefits of partnering with a health plan?
Case Example
Health Care Spending and Use Among People Experiencing Unstable Housing in the Era of Accountable Care Organizations
Individuals experiencing homelessness had health care spending 2.5 times higher than the comparison Medicaid population.
Peer-Reviewed Article
Evidence-Based Community Health Worker Program Addresses Unmet Social Needs And Generates Positive Return On Investment
A community health worker program yielded an annual return of $2.47 for every dollar invested by a Medicaid payer.
Peer-Reviewed Article
The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies
Highlights early findings demonstrating that Medicare-Medicaid integration can improve beneficiary experience and health outcomes, increase program efficiencies, and improve Medicaid program management.
Brief/Report
Building Blocks of Primary Care, Part 2: Better Between-Visit Care with Chronic Care Management
Our ability to effectively treat the growing number of individuals who live with multiple chronic diseases will remain compromised unless health systems explore innovative approaches.
Blog
October 2019
Building Blocks of Robust Primary Care Delivery, Part 1: Moving from Reactive to Proactive Care with the Annual Wellness Visit
The time constraints of the typical primary care practice often do not allow providers to take a comprehensive look at all of their patients’ needs. Enabling office staff to assist in this work, presents a tremendous opportunity to create patient-centered and comprehensive care plans.
Blog
August 2019
ACO Serious Illness Care: Survey and Case Studies Depict Current Challenges and Future Opportunities
How ACOs are addressing serious illness.
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
Financing a Complex Care Model
Featured a panel of leading complex care experts to discuss emerging best practices related to financing a complex care model.
Webinar
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.
Implementation Tool
Why Strong Relationships Matter in Financing of Complex Care Management
Explores how complex care program leaders can make a case for the value of their programs to senior management, and how to initiate a conversation with payers on how funding these programs can be beneficial for both parties.
Blog
July 2018
Care Management Contracting for Complex Populations: Best Practices and Tools
This resource offers guidance on contracting for populations with complex needs.
Implementation Tool
Complex Care Interventions: Building a Sustainable Business Case
Organizations, whether non-profit or for-profit, need a return on investment in order to carry this work forward and continue to invest in innovation.
Blog
March 2018