Integrating Care for People with Complex and Special Needs

By focusing quality improvement efforts on Medicaid’s highest-need, highest-cost populations, states and health plans can more effectively invest limited public dollars and improve health outcomes. CHCS is supporting practical and cost-effective solutions to ensure that all Medicaid beneficiaries with chronic and disabling conditions are included in patient-centered systems of care. Through on-the-ground technical assistance and rigorous pilot demonstrations, we work with states, health plans and other stakeholders to identify the best ways to organize, finance, and deliver care for people with complex and special needs. Current projects include:

Complex Care Innovation Lab

The Center for Health Care Strategies' Complex Care Innovation Lab, made possible through support from Kaiser Permanente Community Benefit, is bringing together leading thinkers from across the country to collectively problem solve and generate innovative solutions to improving care for complex patient populations.

Technical Assistance Provider for Integrated Care Resource Center

The Integrated Resource Center is a national initiative of the Centers for Medicare & Medicaid Services to help states advance coordinated care for high-need, high-cost populations. Technical assistance is coordinated by Mathematica Policy Research and the Center for Health Care Strategies.

Implementing the Roadmaps: Innovations in Long-Term Supports and Services

Through support from The SCAN Foundation, CHCS is providing targeted technical assistance to help 10 states develop and test innovative models for better managing and rebalancing LTSS.

Technical Assistance for Dual Eligible Integrated Care Demonstrations

CHCS, with support from The SCAN Foundation and The Commonwealth Fund, is providing targeted technical assistance to help select demonstration states in developing and implementing innovative payment and delivery models for duals.

Care Management Entities for Children with Serious Behavioral Health Needs: A CHIPRA Quality Improvement Collaborative

This initiative is working with states to test, implement and/or expand the use of a Care Management Entity approach to improving quality and reducing costs for high-utilizing Medicaid- and CHIP-enrolled children with serious behavioral health challenges.

Children in Managed Care Program

This program assists public child-serving systems to become better coordinated and more effective as the use of managed care within those systems becomes more prevalent, and more family-centered.

Rethinking Care for Medicaid's Highest-Need, Highest-Cost Populations

This initiative is working to design and test better approaches to care for Medicaid's highest-need, highest-cost beneficiaries by linking regional pilots with a national learning network.