How ACOs Are Caring for People with Complex Needs

Authors
Kristen A. Peck
Benjamin Usadi
Alexander Mainor
Helen Newton
Ellen Meara
Brief/Report
December 2018

This resource describes the strategies employed by ACOs that have comprehensive care management programs for complex patients. This report is from the six-foundation collaborative and is based on responses from the National Survey of ACOs.

  • Most ACOs report having comprehensive chronic care management processes or programs in place to manage people with complex needs.
  • However, more labor-intensive interventions are much less common. Few ACOs report having advanced programs for engaging patients, in-home visits after hospital discharge, or evidence-based services for patients needing mental health or addiction treatment.
  • While ACOs have increased their efforts to target populations with complex care needs, there are opportunities for more extensive and varied strategies.
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Key Questions Answered
  • What strategies are accountable care organizations (ACOs) employing in providing care to patients with complex needs?
  • What are the biggest opportunities for improvement?
Level of Evidence
Expert Opinion
What does this mean?