This resource describes the strategies employed by ACOs that have comprehensive care management programs for complex patients. This report is from the six-foundation collaborative and is based on responses from the National Survey of ACOs.
- Most ACOs report having comprehensive chronic care management processes or programs in place to manage people with complex needs.
- However, more labor-intensive interventions are much less common. Few ACOs report having advanced programs for engaging patients, in-home visits after hospital discharge, or evidence-based services for patients needing mental health or addiction treatment.
- While ACOs have increased their efforts to target populations with complex care needs, there are opportunities for more extensive and varied strategies.