Bridging the Silos of Service Delivery for High-Need, High-Cost Individuals

Melissa Sherry
Jennifer Wolff
Jeromie Ballreich
Eva DuGoff
Karen Davis
Gerard Anderson
Peer-Reviewed Article
March 2016

This study examined five programs that serve patients with complex needs through medical and non-medical services.

  • Authors created a framework to illustrate the foundational factors that encourage effective collaboration, including flexible financing, shared leadership, shared data, and a commitment to person-centered care.
  • The five programs represented diversity in geography and patient population, but all shared a commitment to person-centered care, namely through addressing social needs as well as medical needs.
  • In all of the programs, the health center served as the convening group among various services and the source of funds.
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