news Complex Care Innovations: Resource Round-up

Every day, health care providers and systems across the nation are testing models to improve care for people struggling with a complex combination of medical, social, and behavioral health needs. Key steps in developing effective complex care management programs include finding ways to consistently identify patients, screen and address for social determinants of health, develop… Read more »

November 2018
news States Join National Initiative to Advance Strategies for Supporting Family Caregivers

Hamilton, NJ, November 1, 2018 – The Center for Health Care Strategies (CHCS) today announced that five states — Alabama, Iowa, New Hampshire, South Carolina, and Virginia — were selected to join Helping States Support Families Caring for an Aging America, a multi-state learning group aimed at enhancing programs to support family caregivers of older adults…. Read more »

November 2018
project Helping States Support Families Caring for an Aging America

Approximately 18 million individuals in the United States provide care and support to an older parent, spouse, friend, or neighbor. While states are the primary payers for long-term services and supports (LTSS), in many cases their health care and social service systems are not prepared to meet the needs of an aging population or their… Read more »

November 2018
resource Inclusion and Exclusion Criteria for Complex Care Programs: Survey of Approaches

Around the country, innovative health care organizations are developing programs to better coordinate care for people with complex medical, behavioral health, and social needs. As a first step, organizations need to consistently and efficiently identify individuals in their patient population who can benefit from enhanced care coordination and also determine when to “graduate” patients out… Read more »

October 2018
resource Advancing Value-Based Payment in Medicaid Managed Long-Term Services and Supports: Opportunities for Community-Based Care

 Many Medicaid programs are adopting value-based payment (VBP) models to reward value over volume, but only a few states have focused these efforts on long-term services and supports (LTSS). This webinar, made possible by the West Health Policy Center, explored opportunities for states seeking to adopt value-based payment models for home-and community-based services (HCBS)… Read more »

September 2018
resource Achieving Value in Medicaid Home- and Community-Based Care: Considerations for Managed Long-Term Services and Supports Programs

States are increasingly adopting value-based payment (VBP) models to tie payment to outcomes including quality of care, health status, and costs for their Medicaid programs. Although most Medicaid VBP models are for primary and acute care services, states are beginning to explore VBP for long-term services and supports (LTSS). This guide, made possible by the… Read more »

September 2018
resource Integrated Care Resource Center

Individuals dually eligible for Medicare and Medicaid often have significant health and social service needs — making them among the nation’s highest-need, highest-cost populations. Integrating the financing and delivery systems for these enrollees has the potential to improve beneficiary experience of care, increase care quality, and reduce costs. The Integrated Care Resource Center (ICRC) — a national… Read more »

resource Rewarding Healthy Behaviors and Addressing Day-to-Day Needs: AccessHealth Spartanburg’s Gift-In-Kind Closet

Recognizing an unmet need for toiletries and household products among clients, AccessHealth Spartanburg (AHS) stocks a closet where eligible clients can “shop” for items. Clients can shop when they first enroll and at targeted intervals, plus they can earn coupons to shop for items by attending appointments, meeting with case managers, and/or achieving health-related milestones…. Read more »

September 2018
resource Addressing Social Determinants of Health: Connecting People with Complex Needs to Community Resources

 Complex care providers are increasingly aware of the social and environmental factors that contribute to poor health outcomes. In response, many providers are finding ways to address identified non-medical needs by establishing connections to an array of community resources (e.g., food banks, employment services). This webinar featured speakers from AccessHealth Spartanburg in South Carolina… Read more »

September 2018
resource Serving Adults with Serious Mental Illness in the Program of All-Inclusive Care for the Elderly: Promising Practices

Program of All-Inclusive Care for the Elderly (PACE) organizations now serve a greater number of older adults with serious mental illness (SMI) than ever before, and increasingly include behavioral health providers in their care teams to meet the complex needs of this population. This brief, supported by the West Health Policy Center, highlights promising practices… Read more »

September 2018