Care coordinator or case manager

Innovations

Physician-Led Clinics Offer Integrated, Coordinated Care to High-Risk Seniors Under Capitated Contracts, Leading to Strong Performance on Quality Metrics, Low Inpatient Use, and High Patient Satisfaction 11/04/14

ChenMed is a physician-led practice serving more than 20,000 Medicare-eligible seniors through 36 centers in six States. ChenMed offers integrated, coordinated care under capitated contracts...

Managed Care Entity Funded By Public Agencies Reduces Institutionalization and Recidivism, and Improves School Attendance and Functional Ability Among Emotionally Disturbed Youth 03/30/14

Funded by and receiving referrals from the various public systems serving at-risk youth, Wraparound Milwaukee is a managed care entity that pays for and supports the provision of coordinated...

Community-Based Health Coaches and Care Coordinators Reduce Readmissions Using Information Technology To Identify and Support At-Risk Medicare Patients After Discharge 03/23/14

Supported by mobile technology, trained health coaches at Elder Services of Merrimack Valley (an Area Agency on Aging in Northeastern Massachusetts) visit recently discharged Medicare patients in...

State Medicaid Program Pays Additional Capitated Fee to Integrated Primary Care and Mental Health Homes, Leading to Better Outcomes and Lower Costs 03/01/14

The Missouri Medicaid Health Home program provides a per-member–per-month payment to medical homes, including primary care clinics and mental health centers, that adopt an integrated staffing...

Mental Health Center Provides Integrated Primary Care and Care Coordination to Medicaid Beneficiaries With Severe Mental Illness, Enhancing Access to Services and Improving Outcomes 12/20/13

As part of Rhode Island's implementation of the “health home” provision of the Affordable Care Act, The Providence Center (one of seven community mental health organizations in the State) offers...

QualityTools

Safety Net Medical Home Initiative: Resources and Tools 06/16/14

This library of publicly available resources and tools can help safety net providers understand and implement the patient-centered medical home (PCMH) model of care. Users can navigate these free resources by type or topic or by the registry of...

Ensuring the Seventh Generation: A Youth Suicide Prevention Toolkit for Tribal Child Welfare Programs 01/05/12

The purpose of this toolkit is to help tribal child welfare workers and care providers play an effective role in the prevention of suicide among the children and youth they serve. It addresses several questions that the tribal child welfare...

NIDA Clinical Toolbox: Online Resources for Drug Abuse Counselors 09/30/11

The National Institute on Drug Abuse (NIDA) Clinical Toolbox: Online Resources for Drug Abuse Counselors is designed to provide practicing substance abuse counselors with the knowledge, skills, and abilities required to successfully implement...

Using Telephone Support to Manage Chronic Disease 12/28/10

This report is intended to inform clinicians and health care managers about the benefits and challenges of telephone care services and programs for patients with chronic illnesses. The report is relevant to “traditional” telephone care services (...

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