This study randomly assigned Medicare fee-for-service beneficiaries who had chronic illnesses and volunteered to participate in 15 care coordination programs to treatment or control status. Nurses provided patient education (mostly by telephone) to improve adherence and ability to communicate...

This brief, the second in a series, evaluates the impacts of the Accelerated Benefits Demonstration, which provides earlier access to health coverage and related services to uninsured beneficiaries. Early findings indicate that the demonstration increased the use of health care services and...

This article identifies a high-risk subgroup of Medicare beneficiaries in the Medicare Coordinated Care Demonstration for which 4 of the 11 participating programs significantly reduced hospitalizations, and the distinguishing features of those successful programs. Frequent in-person contact (in...

Chronic illnesses such as arthritis, heart disease, and diabetes afflict many individuals and create major costs for Medicare. Most Medicare HMOs have developed programs or contracted with disease management or case management providers for programs designed to improve care for people with...

Reviews the evidence for six promising models being implemented by the Centers for Medicare and Medicaid Services' Community-based Care Transitions Program (CCTP) awardees.

This brief offers strategies for decision makers for the patient-centered medical home to respond to and reflect the goals, preferences, and needs of patients and their families. Patients' involvement in the medical home should take place on three levels: (1) engagement in their own care, (2)...

Presents findings from the third report to Congress on the Medicare Coordinated Care Demonstration.