Insurer Provides Financial Incentives, Infrastructure, and Other Support To Stimulate Provider Participation in Quality Improvement Collaborations
A large insurer offers financial incentives and other support to provider-led quality improvement collaborations, leading to high levels of provider participation, higher quality, lower costs, and a positive return on investment.
Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use
A Medicare Advantage plan uses employed "extensivists" who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.
Physician Practices Use Software-Facilitated System to Complete Medicare Annual Wellness Visit, Improving Preventive Care and Generating High Satisfaction
Primary care practices use a software-facilitated process to proactively schedule and efficiently complete required components of Medicare’s Annual Wellness Visit and to identify and address care gaps, leading to improvements in the provision of preventive services and high physician and patient satisfaction.
Postdischarge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients
An interdisciplinary care management program that integrates medical and social care for low-income elderly patients with chronic illnesses reduces care costs and improves self-reported health status.
Safety-Net Hospital Enhances Access to Specialty Care by Immediately Notifying Surgical Oncologists About Patients With Imaging Results That Suggest Possible Gastrointestinal Malignancy
A safety-net hospital enhances access to timely specialist care by revamping its critical results reporting system to immediately notify surgical oncologists of imaging results that suggest a possible gastrointestinal malignancy.
Theory and Reality of Value-Based Purchasing: Lessons from the Pioneers
This report summary provides early lessons on the scope, patterns, barriers, and possibilities of value-based purchasing.
Designing and Implementing Medicaid Care Management Programs: A User’s Guide
The Medicaid Care Management Guide helps States design, implement, and evaluate care management programs for the chronically ill.
Medicare Prescription Drug Plan Finder
This tool will help Medicare beneficiaries learn more about the new Medicare prescription drug coverage and enable them to find and compare prescription drug plans that meet their personal needs.
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs: A User's Guide is designed to aid policymakers in understanding the policy issues, research evidence, and methodology related to evaluating the costs, quality, and impact of care management programs.
Medicaid and CHIP Learning Collaboratives Toolbox
This online toolbox, for use by collaboratives, partners, and stakeholders, provides practical tools and resources to address common challenges and pursue innovations in Medicaid program design and operations.