This brief describes Medicaid payment reform strategies for long-term services and support.

The What Matters Index measures quality of life for people with chronic conditions.

The National Academy of Medicine offers a synthesis of the evidence for improving care for high-needs patients.

A study of five programs identified key factors that support collaboration among community-based health and social services.

A systemic review of transitional care interventions reporting hospital readmission

CareMore’s business model identifies high-risk patients and surrounds them with coordinated services

Health Resilience Specialists work with the patients to meet their personal health needs

This 2016 survey reveals that the health care system is failing people with complex needs

Stanford Coordinated Care provides university employees with complex health needs better care at a lower cost

Cost considerations for the expansion of mobile integrated health care and community paramedicine programs.

Improving care for high-need, high-cost patients is a key lever to decrease national health spending.

There are many promising strategies to segment individuals with complex needs. Here is one conceptual framework.

Segmenting the high-cost population is the first step in matching appropriate care management strategies.

Care management programs should include processes for evaluating patient-reported outcomes.

Examines a unique program that seeks to integrate medical, behavioral health, and social services for dual eligible individuals with serious mental illnesses, substance abuse problems, or disabilities.

Dual-eligible beneficiaries are often more sick, have greater functional and cognitive impairments, and require more care coordination.

Provider incentives must be based on Triple Aim outcomes.

Well-designed federal policies can help meet the rising need.

Experts describe how delivery systems can effectively serve adults with complex needs.

There is considerable variation in use and spending among high-need adults, suggesting this population should be segmented into subgroups.