Tailoring Complex Care Management, Coordination, and Integration for High-Need, High-Cost Patients

David Blumenthal
Gerard Anderson
Sheila Burke
Terry Fulmer
Ashish K. Jha
Peter Long
September 2016

This report explores key issues, spending implications, and existing barriers to meeting the needs of high-need, high-cost patients. It suggests policy options for a new federal administration to improve complex care management, care coordination, and integration of services for this population. Recommendations include:

  • Promote and improve the design of value-based payment.
  • Increase flexibility of accountable providers to pay for non-medical services.
  • Provide intensive technical assistance to providers regarding care for high-need, high-cost patients.
  • Give high priority to health information exchange.
  • Continue active experimentation to accelerate the spread and scale of evidence-based practices.
Posted to The Playbook on
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 are the policy recommendations to potentially improve care for the high-need, high-cost patient population?
Level of Evidence
Expert Opinion
What does this mean?