The Commonwealth Fund 10 September 2019
- This report examines new models for delivering and paying for health care to better serve vulnerable patients, including people with multiple chronic conditions, serious illnesses, or functional limitations, as well as those at risk of developing health problems because of their social circumstances or behavioural health conditions. It also showcases models that improve the quality of care and health outcomes while lowering costs or reducing unnecessary health care use.
- Many of care models examined rely on similar strategies, including:
- risk prediction and segmentation techniques to distinguish those who would benefit most
- proactive management of chronic diseases or serious illnesses
- managing transitions among clinicians and care settings
- identifying and addressing patients’ social needs.
