All Resources

Focusing on High-Cost Patients — The Key to Addressing High Costs?

The problem of the high cost of health care has centered on reducing spending among the patients who use the most health care services.

Improvement Happens – Learning to Better Care for “Super-Utilizers” at Denver Health

Denver Health received a Centers for Medicare and Medicaid Innovation Award to develop an intensive outpatient clinic (IOC) to improve care and lower costs for patients with complex needs.

New Models of Primary Care Workforce and Financing: Case Example #1: Stanford Coordinated Care

This resource provides an in-depth look at the Stanford Coordinated Care Primary Care Practice (SCC), which delivers primary care to Stanford University employees and their dependents who have comp

Characteristics of Emergency Department Visits for Super-Utilizers by Payer, 2014

This resource analyzes nationwide 2014 ED data across 13 geographically dispersed US states. Findings include:

Disruptive Innovation in Medicaid Non-Emergency Transportation

For Medicaid beneficiaries, a lack of reliable transportation is a major barrier to receiving health care services.

Home-Based Care Program Reduces Disability and Promotes Aging in Place

Difficulty with activities of daily living is a major cost driver in health care that is typically overlooked.

The Business Case for Community Paramedicine: Lessons from Commonwealth Care Alliance’s Pilot Program

This resource describes an analysis of a Massachusetts-based MIH-CP program called Acute Community Care (ACC), a pilot program of the Commonwealth Care Alliance.

Training Staff in Trauma Treatments: Considerations for Complex Care Providers

This resource summarizes feedback from care providers who received training in various evidence-based models of TIC. Key recommendations include:

Cost Containment and the Tale of Care Coordination

This resource explores why it’s not necessarily true that care coordination and cost savings go hand in hand — and the dangers of this common myth.


For Super-Utilizers, Integrated Care Offers A New Path

This resource describes the mission of the National Center for Complex Health and Social Needs and examines several versions of integrated care models, including the Camden Coalition of Healthcare

Challenges and Opportunities in Caring for High-Need, High-Cost Medicare Patients

This resource analyzes a number of specific care models that serve Medicare-only individuals and proposes five main policy barriers and potential strategies to address these barriers.  

Clarifying Multimorbidity Patterns to Improve Targeting and Delivery of Clinical Services for Medicaid Populations

To inform the delivery of targeted care for the highest-need beneficiaries, this resource examines comorbidity patterns among Medicaid beneficiaries under 65 years old with disabilities.

Key Questions

Find curated resources about promising approaches to improving care for people with complex needs.