Case Management and Home Assessments Reduce Asthma-Related Admissions, Emergency Visits, and Missed School Days in Diverse Urban Children
Case management combined with in-home environmental assessment and remediation of environmental triggers reduce asthma-related hospitalizations, emergency department visits, missed school days, and missed parent work days in diverse, low-income urban children with asthma.
Hospital Successfully Links Recently Released, HIV-Positive Prisoners to Medical, Mental Health, and Social Services, Reducing Recidivism
A hospital links HIV-positive prisoners to medical care and other social services before and after release to enable successful reentry into the community, leading to enhanced access to these services and less recidivism.
Initiative Features Fixed Monthly Payments to Primary Care Clinics for Providing Depression Care Bundle, Allowing Many Patients to Achieve Good Outcomes
A collaborative initiative features standardized care elements and fixed per-patient payments for treatment of depression in the primary care setting, leading to high rates of remission and response to treatment and high levels of provider satisfaction.
Partnership Between Private Practice Providers and Hospitals Enhances Access to Comprehensive Dental Care for Underserved, Low-Income Pregnant Women
A partnership among a periodontist, hospitals, state-funded health clinics, and area dentists enhances access to comprehensive dental care and education about oral hygiene to thousands of low-income pregnant women.
Quality Improvement Collaborative Helps Clinic Serving the Uninsured to Significantly Increase Colorectal Cancer Screening and Smoking Cessation Education
As part of a quality improvement collaborative, a nonprofit clinic serving uninsured patients created new processes to identify those in need of colorectal cancer screening and smoking cessation education, formed partnerships with community-based organizations and providers to offer additional support to such patients, and participated in ongoing performance monitoring, reporting, and improvement; the program significantly increased the percentage of eligible patients receiving the targeted services.
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Medicare Plan Finder
This database enables users to view and print a personalized chart comparing Medicare health plans in their area and provides information about the various types of Medicare plans.
Maximizing Health Care for Colorado’s Underserved
This operational handbook for safety-net medical homes describes the experience of Doctors Care, a community-funded, nonprofit organization that helps underserved children, adults, and families receive the medical attention they need.
Predictive Modeling: A Guide for State Medicaid Purchasers
This guide for care managers and State Medicaid agencies provides information on how to use predictive modeling tools to identify patients who are good candidates for care management.
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.
Risk Management and Quality in Home- and Community-Based Services (HCBS): Individual Risk Planning and Prevention, System-wide Quality Improvement
This report explores the topic of effective individual risk management in community-based services among States engaged in risk planning for Medicaid home- and community-based services (HCBS) waiver participants.