D-SNPs are a type of Medicare Advantage plan that serve beneficiaries enrolled in both Medicare and Medicaid.

States are increasingly establishing MLTSS programs, which integrate person-centered health care with other support services.

This resource reviews 14 programs for people with complex needs that primarily benefit individuals insured through Medicaid.

In 2013, the Center for Health Care Strategies, Inc., hosted a “Super-Utilizer Summit” to explore how Medicaid could promote models to improve care and lower costs for individuals whose complex nee

This resource provides an introduction to trauma‐informed care, describing how it can serve high‐need, high‐cost Medicaid populations.

This resource offers a structured improvement process for redesigning care for people with complex needs and high health care costs.

This resource describes how to develop and implement a model called the Intensive Outpatient Care Program, which uses a multidisciplinary team-based approach to address medical, behavioral, and soc

Based on a review of the evidence, the Quick Reference Guide to Promising Care Models offers summary information on 22 programs for adults with complex needs.

This resource provides personas, which are character profiles aggregated from a collection of interviews with members of a population, for three subgroups of the high-need population.


This resource reviews the case for segmenting patients with complex needs and different ways of segmenting, as well as challenges and limitations.

This paper provides promising policy recommendations to improve care for high-need, high-cost patients.

This report explores key issues, spending implications, and existing barriers to meeting the needs of high-need, high-cost patients.