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Social Needs

Addressing social needs and mental health and other tactics that strengthen emotional stability, are essential for total patient health across all populations. How are some organizations leading the way?

Sachin Jain 04 talk still: How CareMore Embraced Medicaid

New Marketplace
New Risk, New Business Models

How CareMore Embraced Medicaid

There isn’t a population of patients who needs a culture of caring more than those on Medicaid.

Patient Engagement

Health Care — A Final Frontier for Design

Design must move beyond narrow projects and encompass complex systems.

Patient Engagement

Social Interventions Can Lower Costs and Improve Outcomes

We can better serve our under-resourced patients by helping them access treatments and social interventions we already know to be effective.

New Marketplace
New Risk, New Business Models

Should Medicare Value-Based Purchasing Take Social Risk into Account?

Strategies for monitoring quality of care for socially at-risk patients and reducing disparities.

Care Redesign
Relentless Reinvention

What Happens When We Can’t Cope — Part 2

Do we give patients more work, more choice, or both?

Care Redesign
Relentless Reinvention

What Happens When We Can’t Cope — Part 1

Increased workload is only part of the problem when it comes to physicians’ — and patients’ — inability to cope.

Care Redesign
Relentless Reinvention

Toward Accountable Care: Achieving Value and Integration via Population Health Management

Camden Clinical Commissioning Group, a local health planning organization in London, developed a Population Health Management Tool to provide them with a greater understanding of the needs of different segments of the population, resulting in improved outcomes and reduced costs through the delivery of appropriate care.

Care Redesign
Relentless Reinvention

Predictive Analytics to Determine Next Year’s Highest-Cost Patients

How Kaiser Permanente segments the top 1% of patients to gauge the intensity of care needed by nine risk-stratified subgroups.

Care Redesign
Relentless Reinvention

How the Netherlands Is Integrating Health and Community Services

What early observations from nine Dutch communities can teach U.S. policymakers.

Care Redesign
Relentless Reinvention

How We Promoted Sustainable Super-Utilizer Care through Teamwork and Taking Time to Listen

Identifying hidden barriers to better care meant earning the patients’ trust and drilling down to the source of the problem.

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