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.
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.
Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
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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.
Evaluating the Impact of Value-Based Purchasing: A Guide for Purchasers
This guide was developed to be an evaluation tool for purchasers, particularly employers, in assessing their value-based purchasing (VBP) activities.
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.
Clinical–Community Relationships Measures Atlas
AHRQ developed the CCRM Atlas to identify ways to further define, measure, and evaluate programs based on clinical-community relationships for the delivery of clinical preventive services.