Nearly 50 percent of Medicaid spending is on approximately five percent of beneficiaries — many with complex physical, behavioral, and social service needs. CHCS works with the federal government, state agencies, health plans, providers, and consumer organizations to ensure that individuals with complex needs have access to integrated physical, behavioral health, social, and community-based services and supports. Our work engages leading thinkers from across the country to generate innovative solutions to improve care and control spending for complex need populations.
Much of this risk identification work relied on utilization, claims, and diagnostic data, but the pandemic and the existing health inequities it has highlighted — especially in communities of color — are leading some innovative health care players to expand their perspective on what types of data should be used to understand risk.
Advancing innovations in health care delivery for low-income Americans