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:
Through Promoting Integrated Care for Dual Eligibles
(PRIDE), supported by The Commonwealth Fund, CHCS is helping a consortium of seven high-performing health plans to identify and test innovative strategies that enhance and integrate care for Medicare-Medicaid enrollees.
This initiative is helping 16 states implement innovative programs of integrated care for Medicare-Medicaid enrollees, including financial alignment demonstrations as well as emerging models. The participating states are: Arizona, Arkansas, California, Colorado, Idaho, Kentucky, Massachusetts, Michigan, Minnesota, New Jersey, Pennsylvania, Rhode Island, South Carolina, Texas, Virginia, and Washington.
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 improve care for complex patient populations.
Six states are participating in this CHCS collaborative to improve the prescribing, monitoring, and oversight of psychotropic medications among children and youth in foster care.
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.
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.
The Health Home Information Resource Center is a national initiative of the Centers for Medicare & Medicaid Services to help states develop health home models for high-need, high-cost Medicaid populations. Technical assistance is coordinated by Mathematica Policy Research and the Center for Health Care Strategies.
To support states and communities in expanding and sustaining systems of care for children, youth, and young adults with behavioral health needs and their families, the Center for Health Care Strategies is serving along with nine partner organizations as the National Technical Assistance Network for Children's Behavioral Health.
In partnership with the New York State Department of Health, and with the support of the New York State Health Foundation, CHCS is facilitating a New York State Health Homes Learning Collaborative to identify and share best practice in health home design and implementation.
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.
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.