02.27.2020

How to Improve Care for High-Need, High-Cost Medicaid Patients

For roughly two decades, health care organizations have been aggressively experimenting with programs to improve care for high-need, high-cost patients. Most of those efforts focused on care models for chronically ill and frail elders, but organizations are now increasingly developing programs to better serve Medicaid beneficiaries with complex health and social needs. Although select programs appear to be effective, a recent high-profile evaluation of one of them — the Camden Coalition of Healthcare Providers — has raised concerns over the utility of care models for medically and socially complex patients.

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