In many regions across the country, “super-utilizer” programs providing intensive outpatient care management to high-need, high-cost patients are beginning to emerge. The term “super-utilizer” describes individuals whose complex physical, behavioral, and social needs are not met through the current fragmented health care system. As a result, these individuals often bounce from emergency department to emergency department, from inpatient admission to readmission or institutionalization — all costly, chaotic, and ineffective ways to get better.

To discuss how Medicaid can advance models for this high-need group of patients, CHCS, in partnership with the National Governors Association, hosted the Super-Utilizer Summit on February 11 and 12, 2013 in Alexandra, Virginia. The summit brought together leaders from more than 10 states, super-utilizer programs across the country, the Centers for Medicare & Medicaid Services, several Robert Wood Johnson Foundation (RWJF) Aligning Forces for Quality alliances, health plans, and other key stakeholders to share strategies for changing how our health care system interacts with these individuals. The meeting was supported by RWJF and the Atlantic Philanthropies.

Session I: Patient Identification, Data Analysis and Targeting

Session II: Care Teams and Successful Care Interventions

Session III: Creating Super-Utilizer Programs within a State

Session IV: Integrating and Sustaining Super-Utilizer Programs within Delivery Systems