Hamilton, NJ, July 6, 2016 – The Center for Health Care Strategies (CHCS) announces Transforming Complex Care, a multi-site demonstration aimed at refining and spreading effective care models that address the complex medical and social needs of high-need, high-cost patients. This national initiative, made possible with support from the Robert Wood Johnson Foundation and led by CHCS, will work with six organizations to enhance existing complex care programs within a diverse range of delivery system, payment, and geographic environments.

Health care policymakers, payers, and providers increasingly recognize the need for integrated care models for patients with complex needs, a population that accounts for disproportionate health care costs. These patients frequently have multiple medical, mental health, and substance use treatment needs, and face social and economic challenges that further complicate their health outcomes.

“Health care providers and delivery systems across the country are looking to implement complex care models based on emerging best practices,” said Allison Hamblin, MSPH, vice president of strategic planning at CHCS. “Transforming Complex Care will enable leading health organizations to more effectively address the social determinants of health for high-need, high-cost patients, and will offer lessons for replication that maximize existing community strengths.”

The six competitively selected sites, intentionally drawn from small- to mid-sized cities, each have unique strengths and clearly defined opportunities to enhance their existing approaches. Each site will receive funding support and participate in a learning collaborative offering 1:1 and group technical assistance, peer exchange, and tools to help them improve their complex care programs. Representing a range of delivery systems, including an accountable care organization, health centers, a quality improvement organization, and hospital-based health systems, the pilot sites and regions they serve are:

  • AccessHealth Spartanburg, Spartanburg County, South Carolina
  • Mountain Pacific Quality Health Foundation, State of Montana
  • OneCare Vermont, State of Vermont
  • Redwood Community Health Coalition, Northern California
  • ThedaCare, Eastern Wisconsin
  • VCU Health System, Central Virginia

“Caring for patients with complex needs requires innovative programs that go beyond medical issues to address unmet social needs,” said David Adler, MPA, senior program officer at the Robert Wood Johnson Foundation. “The Transforming Complex Care sites will support a Culture of Health by building the evidence base on improving care for high-need, high-cost patients.”

Over two years, the sites will refine targeted strategies across six key domains for improving complex care, including: (1) care model enhancements; (2) data and analytics; (3) workforce development; (4) financing and accountability; (5) governance and operations; and (6) policy and advocacy. Throughout the initiative, CHCS will share lessons and tools from the sites’ experiences. Look for more information at www.chcs.org.

About the Center for Health Care Strategies

The Center for Health Care Strategies (CHCS) is a nonprofit policy center dedicated to improving the health of low-income Americans, especially for individuals with complex, high-cost needs. CHCS works with state and federal agencies, health plans, providers, and consumer groups to advance innovative and cost-effective models for organizing, financing, and delivering health care services. For more information, visit www.chcs.org.

About the Robert Wood Johnson Foundation

For more than 40 years the Robert Wood Johnson Foundation has worked to improve health and health care. We are working with others to build a national Culture of Health enabling everyone in America to live longer, healthier lives. For more information, visit www.rwjf.org.