Programs Targeting Complex Patients — An Inventory

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This resource contains profiles of nearly a hundred programs that target complex patients across 36 states and territories, including Puerto Rico and Washington, DC.

 

  • To qualify for inclusion, the programs must either offer social services integration or address socioeconomic disparities.
  • Each profile includes information such as partner organizations, target population, care team, and funding sources.
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Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • What programs are improving care for patients with complex needs across the United States?