Identifying and Designing the Right Care Management Program: Insights from ACOs

Implementation Tool
April 2019

This resource describes four care management models that ACOs are using for individuals with complex needs.

  • Care management programs can involve creating patient care plans, coordinating care across providers, and addressing patient needs.
  • Care management models fall into the following categories: designed, managed, and the staff is located at the ACO-level; designed and managed at the ACO-level with staff embedded in practices; programs are independently developed and managed by practices; and programs are managed and implemented by an external service.

For each, this resource identifies key benefits and challenges, and offers guidance on which care model might be most appropriate depending on the characteristics of a given ACO. 

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Level of Evidence
Expert Opinion
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