Resources

In 2013, the Center for Health Care Strategies, Inc., hosted a “Super-Utilizer Summit” to explore how Medicaid could promote models to improve care and lower costs for individuals whose complex needs...
This resource reviews the case for segmenting patients with complex needs and different ways of segmenting, as well as challenges and limitations. The high-need, high-cost population is heterogeneous...
This report explores key issues, spending implications, and existing barriers to meeting the needs of high-need, high-cost patients. It suggests policy options for a new federal administration to...
This resource examines reimbursement structures that serve beneficiaries who are dually eligible for Medicare and Medicaid. It also includes an analysis comparing care patterns for dual-eligible...
This resource reviews emerging payer and provider partnerships that incentivize value-based payment models. Key points and recommendations include: The highest-need, highest-cost population is ever...
This resource offers recommendations for federal policymakers to help finance LTSS, the clinical and social services that assist individuals with limited ability to care for themselves. In 2013...
This resource is a case study of Commonwealth Care Alliance (CCA), a Boston-based Medicare Advantage plan and care delivery network that seeks to integrate medical, behavioral health, and social...
There is currently no single statement of what a delivery system must have to effectively serve adults with complex care needs. The SCAN Foundation convened a working group of diverse experts...
This resource is a case study of the Program of All-Inclusive Care for the Elderly (PACE), focusing on On Lok, the original program. On Lok Senior Health Services was founded in 1971 in the San...
This resource is a case study of MedStar Washington Hospital Center’s Medical House Call Program, which offers home-based primary care to patients who are too sick, frail, or disabled to come to a...
This resource, drawing on Medicare survey and claims data, a literature review, and interviews, suggests a three-pronged strategy to manage care for Medicare beneficiaries with medical and social...
This resource examines the characteristics and health care experiences of adults with high needs, defined as people with three or more chronic diseases and a functional limitation. (The data predate...