Health Reform Initiatives to Improve Care Coordination and Transitional Care for Chronic Conditions – Fact Sheet
Article Publication Date
Summary
Several programs based on promising models for improving care for people with chronic conditions, who often experience difficult transitions across care settings that can compromise quality of care and increase costs were created by the heath care reform law. Most of these programs include some level of funding, evaluation, and discretion for the HHS Secretary to expand programs if they meet certain criteria. This fact sheet delineates these programs.
Types/Tools
Populations
Sources
Programs/Initiatives
States
Keywords
Health Homes; Interdisciplinary Community Health Teams; Hierarchical condition category; HCC; Patient-Centered Medical Homes; The Medicare Community-Based Care Transitions Program; Incentives to reduce Medicare hospital readmissions; The Medicare Independence at Home demonstration; Bonus payments for Medicare Advantage plans with care management programs; Medical Home models in Medicare and Medicaid; Community Health Teams to support Medical Homes
Contact
AARP
Public Policy Institute
NULL
ppi@aarp.org
Phone
202-424-3890