The Flourish Care Model: Utilizing the Geriatric Workforce Enhancement Program (GWEP) to Implement A Shared-Care Approach to Health Care for Older Adults

January 19, 2018

To promote effective care coordination and quality care for older adults in rural areas, the Flourish Care model developed partnerships between primary care practices, local area agencies on aging and community coalitions as part of a federal grant to promote quality care for older adults. Flourish is a shared-care approach to healthcare and functions from… Read more »

Patterns of Collaboration among Health Care and Social Services Providers in Communities with Lower Health Care Utilization and Costs

December 12, 2017

Many older adults have complex health problems that are exacerbated by non-medical problems such as unsafe housing, poor nutrition, lack of transportation, and isolation. Increasingly, health care providers are trying to address these social issues in addition to treating medical conditions. Commonwealth Fund–supported researchers explored how providers coordinate with local social services organizations and identified… Read more »

Recognizing and Addressing Malnutrition in our Communities

August 14, 2017

Malnourished older adults are commonly discharged without a diagnosis or dietary plan. To help address community follow-through, the National Council on Aging (NCOA) surveyed several kinds of community-based organizations (CBOs) to learn what they need to bolster their ability to identify and treat malnutrition – the Community Malnutrition Resource Hub. This Resource Hub targets transitions… Read more »

Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries

February 2, 2016

With support from the Center for Medicare & Medicaid Services Office of Minority Health, the Disparities Solutions Center at Massachusetts General Hospital, in partnership with NORC at the University of Chicago, has created a Guide to Preventing Readmissions among Racially and Ethnically Diverse Medicare Beneficiaries. Racial and ethnic minority populations are more likely than their… Read more »

Community-Based Organizations and MLTSS: An Issue Brief to Assess CBO Readiness

August 28, 2015

For community-based organizations (CBOs) that have historically been the providers of long-term services and supports (LTSS), the change in oversight of managed LTSS (MLTSS) services from the state to managed care organizations (MSO) presents new challenges and opportunities. This issue brief discusses each of following opportunities that CBOs need to address when assessing their readiness to… Read more »