Medical Care at Home Comes of Age Provides an overview of home-based medical care models, the patients that they serve, and their robust evidence base. Brief/Report January 2021
Caring for Older Adults with Complex Needs in the COVID-19 Pandemic: Lessons from PACE Innovations Highlighted innovations adopted by PACE organizations during the pandemic to provide care for older adults with complex needs. Webinar June 2020
Health Care Hotspotting — A Randomized, Controlled Trial Randomized controlled trial of a care management intervention offers important lessons for the field of complex care. Peer-Reviewed Article January 2020
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare and Medicaid Beneficiaries Examines how home meal delivery programs show promise for reducing the use of costly health care and decreasing spending for dually eligible individuals. Peer-Reviewed Article April 2018
Disruptive Models in Primary Care: Caring for High-Needs, High-Cost Populations Promising approaches to managing care illustrated through a clinical vignette. Case Example April 2017
New Models of Primary Care Workforce and Financing: Case Example #1: Stanford Coordinated Care Stanford Coordinated Care provides university employees with complex health needs better care at a lower cost Case Example October 2016
Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs. Case Example October 2016
Project ECHO’s Complex Care Initiative: Building Capacity to Help “Superutilizers” Interdisciplinary teams provide support for Medicaid beneficiaries with mental illnesses, addictions, and other needs. Case Example August 2016
Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community Reviews lessons from the Program of All-Inclusive Care for the Elderly on serving high-need populations in community settings. Case Example August 2016
Bringing Primary Care Home: The Medical House Call Program at MedStar Washington Hospital Center Providing the frail elderly with 24/7 access to an interdisciplinary care team reduced expected spending by 20 percent. Case Example July 2016
Effect of a Community-Based Nursing Intervention on Mortality in Chronically Ill Older Adults: A Randomized Controlled Trial Indicates that a community-based nurse care management model reduced all-cause mortality for older adults with chronic conditions. Peer-Reviewed Article July 2012