All Resources

The New Post-Acute Care Management Solution for Complex Care Patients

Highlights how skilled nursing facilities are switching to the Patient Driven Payment Model — a payment system that removes therapy minutes as the basis for payment and enhances payment accuracy for services by making reimbursement dependent on a wide range of clinical characteristics.
Blog
November 2019

A Surprising Trend Among Medicare Advantage Plans

From continued enrollment growth to expanded flexibility to offer non-medical supplemental benefits, Medicare Advantage plans are playing an increasingly important role in the lives of older adults.
Blog
July 2019

Special Needs Plans: A Primer on I-SNPs

Provides an overview on Special Needs Plans (SNPs), a type of Medicare Advantage plan for individuals with special needs, the types of SNPs serving different populations, and how SNPs serving institutionalized individuals are unique.
Blog
July 2019

Is the Bright Line Between Acute and Non-acute Care Fading?

The "winners" in population health management will be the health plans and providers that figure out how to identify individuals with activities of daily living impairment and address their needs with comprehensive care management and targeted non-medical services.
Blog
June 2019

Senior Living 101: A Primer on Senior Living

As ACOs and MCOs develop value-based strategies for managing a complex care population, they should get to know the organizations in their market that offer housing and services aimed at this population.
Blog
May 2019

Striving for Person-Centered Care

Describes a series of video modules for health system leaders and clinicians that aims to reinvigorate the idea of person-centered care for those with complex health, social, and functional needs.
Blog
May 2019

Is Co-Design the Key to Successful Complex Care Management?

What typically happens when a clinician meets a patient with complex care needs? Co-designing care is especially important when the care is for people with complex needs. Here are some tips for co-designing complex care management.
Blog
March 2019

PACE 2.0: A Prime Opportunity for Delivery Systems and Payers

The Program of All-Inclusive Care for the Elderly provides comprehensive, compassionate medical care and long-term services and supports to older adults with persistent complex needs who are eligible for nursing home care. Yet, PACE reaches less than two percent of those who could benefit from its services.
Blog
September 2018

Home: Perhaps the Most Important “Care Setting”

The program, known as Community Aging in Place — Advancing Better Living for Elders (CAPABLE), is a client-directed home-based intervention to increase mobility, functionality, and capacity to “age in place” for older adults.
Blog
June 2018

Engaging Family Caregivers in Programs for People with Complex Needs

Most care delivery systems don’t proactively identify and meaningfully engage or support family caregivers in visits or care plans. Jennifer Wolff, PhD, a gerontologist and health services researcher shares how complex care programs can better engage families in care for patients.
Blog
December 2017