Plan-Funded Team Coordinates Enhanced Primary Care and Support Services to At-Risk Seniors, Reducing Hospitalizations and Emergency Department Visits
Commonwealth Care Alliance developed a health plan that provides low-income, dually eligible, elderly enrollees in Massachusetts with a primary care team made up of a physician, nurse practitioner, and geriatric specialist who work out of the enrollee's primary care clinic.
Health Plan and Psychiatric Hospitals Reduce Readmissions by Reviewing Data and Developing Strategies to Improve Postdischarge Care
A partnership between a health plan and psychiatric hospitals focuses on sharing of quarterly data, case reviews, and deployment of specific strategies to improve postdischarge care, leading to significant reductions in readmissions, inpatient days, and costs.
Transition Coaches Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs
Transitions coaches encourage recently hospitalized Medicare patients with complex care needs to assert a more active role in their posthospital care, leading to fewer readmissions and lower costs.
Agency Enhances Access to Culturally Competent Home Care by Providing Trained Aides to Asian American Seniors With Limited English Proficiency
A nonprofit organization trains and places culturally competent home health workers to provide care for low-income, Asian-American seniors with limited English proficiency, leading to enhanced access to culturally competent care.
Interdisciplinary Clinic Using Team-Based Approach Improves Outcomes and Reduces Costs for Frail, Vulnerable Elderly
An interdisciplinary, hospital-based outpatient clinic staffed by geriatricians and other health professionals cares for seniors with one or more chronic health conditions, leading to improved outcomes and lower costs.
The Power to Control Diabetes is in Your Hands: Information about Diabetes and Related Medicare Benefits
This booklet provides information to Medicare beneficiaries about diabetes.
Dartmouth Atlas Project
The Dartmouth Atlas Project Web site provides data and information on how medical resources are distributed and used in the United States.
The Toolkit for Healthcare Professionals: Medicare Prescription Drug Coverage
This toolkit provides downloadable educational materials specifically for physicians and other health care professionals and their staff to learn the basics about Medicare prescription drug coverage.
This interactive decision-support tool assists consumers who are considering signing up for Medicare Prescription Drug Coverage.
Home Health Care CAHPS® Survey Materials
The Home Health Care CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey is designed to measure the experiences of people receiving home health care from Medicare-certified home health care agencies.