Resources

  • June 2016

    Accounting for Social Risk Factors in Medicare Payment: Identifying Risk Factors

    This report presents a conceptual social risk factor framework, and details the results of a literature review linking social risk factors to health care outcomes important to Medicare payment and quality programs. (National Academies of Sciences, Engineering, and Medicine)
  • Other Resource | December 2011

    Measuring Quality for Complex Medicaid Beneficiaries in New York State

    This United Hospital Fund report focuses on measuring quality of care for Medicaid beneficiaries with complex needs, including those with multiple chronic conditions, behavioral health conditions, and long-term care needs, including dual eligibles. (United Hospital Fund)
  • Other Resource | June 2009

    Integrated Care Plan Template - Connected Care Pilot

    This web-based integrated care plan, developed for the Southwestern Pennsylvania Rethinking Care Program pilot, allows physical and behavioral health plans to share data with care managers. (UPMC Health Plan)
  • Other Resource

    Texas State Website

    This website provides information on the Dual Eligible Project (MMP) -- the capitated model Financial Alignment Initiative in Texas. (Texas Health and Human Services)
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