Systematic Review of Programs Treating High-Need and High-Cost People With Multiple Chronic Diseases or Disabilities in the United States, 2008–2014

Sara Bleich
Cheryl Sherrod
Anne Chiang
Cynthia Boyd
Jennifer Wolff
Eva DuGoff
Claudia Salzburg
Keely Anderson
Bruce Leff
Gerard Anderson
Journal Article
November 2015

This systematic review, which includes 27 studies across five models of care, evaluates the effectiveness of programs to improve care and lower cost for people with multiple chronic conditions or disabilities.

  • Two models — care and case management and disease management — showed improvements in one of the key outcome measures.
  • Care and case management models showed reductions in cost.
  • Disease management models showed improvement in clinical outcomes.
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Population Addressed
Adults Under 65 with Disabilities
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • What care models are effective in improving health and lowering costs for people with complex needs?
  • What are the attributes of evidence-based care models?
Level of Evidence
What does this mean?