Why invest in redesigning care for people with complex needs?

When people with complex needs require medical services, they often encounter a health care system that is poorly coordinated, inefficient, and expensive. They face many challenges such as chronic conditions, behavioral health issues, trauma history, food insecurity, and homelessness. High-need patients often experience poor outcomes due to avoidable emergency department visits and hospital stays that do not improve their health.

Meeting the needs of these people is an economic necessity. Health plans, accountable care organizations, and providers cannot achieve their quality and cost goals without improving care for people with complex needs. The broader implementation of promising care models is critical to improve outcomes, lower overall costs of care, and build further evidence for the most effective approaches.