Financing Integrated Social Services for the High-Need, High-Cost Population: Webinar and Resources

Caring for high-need, high-cost patients requires providers to think beyond traditional clinical settings and address the social determinants of health. Yet integrating social services into health care can be a daunting challenge that requires a clear understanding of the target population, available resources, and an effective integration model. 

Building upon the social services integration framework shared in the HCTTF’s first webinar, Integrating Social Services into Care for the High-Need, High-Cost Population, this presentation explores models for financing integrated social service models from the perspectives of two innovative provider organizations.

View the webinar recording.

Download the slide deck.

Integrating Social Services into Care for the High-Need, High-Cost Population: Webinar Recording and Resources

Effectively caring for high-need, high-cost patients requires providers to think beyond the clinical setting and tackle the social determinants of health. Yet integrating social services into health care can be a daunting challenge that requires a clear understanding of the target population, available resources, and an effective integration model.  

Join our speakers as they walk through a new Task Force-endorsed framework on social services integration, and provide an in-depth case study on how one high-performing community health system has successfully infused social services into its care delivery system.

View the webinar recording.

Presentation Deck

Additional Resources:

HCTTF Resource Sheet

Additional relevant programs and resources for organizations interested in social services integration.

Better Care Playbook

A collaborative project that is geared at helping health care organizations participating in value-based payment models and adopting evidence-based interventions to improve outcomes and lower overall costs of care

AHRQ Statistical Brief on Health Expenditure Concentration

 

 

White Paper: Payment to Promote Sustainability of Care Management Models for High-Cost, High-Need Patients

A significant proportion of health expenditures are concentrated within a small population of medically complex individuals. Identifying and managing care for this group of patients is an important step towards improving health outcomes and reducing total costs for the entire population.  

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care system, works to address this issue through its Improving Care for High-Cost Patients Work Group.

The Work Group recently released the third and final in a series of white papers, entitled “Payment to Promote Sustainability of Care Management Models for High-Cost, High-Need Patients." It outlines emerging payer and provider partnerships that incentivize sustainable delivery system re-engineering to improve care through innovative value-based payment models. It finds that the fee-for-service payment system has and continues to impede broad adoption of effective interventions for high-need, high-cost patients. Further, it notes that conflicting requirements and methodologies from multiple payers threaten to hinder progress in the future, even in supportive environments. 

Read the white paper

Read the press release

White Paper: Developing Care Management Programs to Serve High-Need, High-Cost Populations

As the health care system shifts from a fee-for-service structure to value-based payment programs, appropriate provision of services across the care management continuum can increase value and improve outcomes for patients, while effectively reducing unnecessary care and acute care episodes requiring high-cost interventions.

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care system, addresses this issue through its latest white paper – “Developing Care Management Programs to Serve High-Need, High-Cost Populations.” Learn the building blocks of care management, review case studies of Task Force member care management programs, and read lessons learned and important areas for improvement.

The white paper is the second in a series of three papers to be developed by the Task Force’s Improving Care for High-Cost Patients Work Group. The first paper focused on methods to identify high-need, high-cost patients. The third paper will offer guidelines to develop payer-provider relationships that promote sustainability of proven innovations.

Read the white paper
Read the executive summary 
Read the press release

Case Studies

White Paper: Proactively Identifying the High Cost Population

We’ve all read the statistic from AHRQ that 5 percent of the population accounts for roughly half of total health care expenditures – but what can health care systems and payers do to identify these patients as a precursor to better managing their care?

The Health Care Transformation Task Force, a consortium of patients, payers, providers and purchasers working to transform the U.S. health care system, addresses this issue through its latest white paper – “Proactively Identifying the High Cost Population.” Learn best practices to identify high cost patients and review proven methods to stratify high cost patients for targeted care management.

-White Paper Updated on August 11, 2015-

 

A special thank you to all of our High Cost Patient Work Group member organizations:

ACCC Cancer
ACI Strategies
Aetna*
Aledade, Inc.
Ascension
Atrius Health
Beth Israel Deaconess Care Organization
Blue Cross Blue Shield of Michigan
Blue Shield of California*
Caesars Entertainment Corporation
Centra Health
CEP America
Dartmouth - Hitchcock
Dartmouth Institute for Health Policy and Clinical Practice
Dawe Health Strategies/CapView Associates
Dignity Health
Evolent Health
Fresenius Medical Care
Health Care Service Corporation - Illinois Blues
Leavitt Partners
Leverage Health Solutions
Maine Health Management Coalition
McKesson
MedAmerica
Mercy Health
Montefiore
National Partnership for Women & Families
NextGen Healthcare
OSF HealthCare System
Pacific Business Group on Health
Providence Health & Services
Robert Wood Johnson Foundation
RowdMap
SCL Health
SSM Health Care
Trinity Health
Tucson Medical Center Healthcare
West Health Policy Center

*Denotes lead of Work Group

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