Analyzes survey results and addresses how many community-based organizations are contracting with health care partners, the nature of these partnerships, challenges with contracting, and collaborative solutions.
Explores findings from the AAA National Survey conducted by n4a and Scripps Gerontology Center at Miami University, which shed light on the wide range of needs that AAAs address in their communities, as well as the expertise their staff bring to meet those needs.
Details the proactive approach of Cambridge Health Alliance, a public ambulatory care and hospital system in the Boston area, to initiate goals of care conversations with high-risk patients in their respiratory clinic.
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.
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.
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.
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.
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.
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.
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.
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.