CARE Award

The CARE Award study is an ambitious, national, pediatric population management project to improve quality and reduce cost of care for children with medical complexity. 

In partnership with 10 of the nation’s leading children’s hospitals, the Children’s Hospital Association received a three-year $23 million Health Care Innovation Award (HCIA) in round two from the Center for Medicare and Medicaid Innovation (CMMI) to test coordinating all resources effectively (CARE) for children with medical complexity, two-thirds of whom are covered by Medicaid.

This project aims to inform sustainable change in health care delivery through new payment models supporting better care, smarter spending and healthier children.

Latest News

CMS approves carryover funding
The Centers for Medicare & Medicaid Services (CMS) approved a reallocation of unused funds from the previous project year to the final year of the project. This means the more than 50 hospital and primary care based sites can continue their important work in transforming care for more than 8,000 children with complex medical conditions. This funding is critical to support continued data analysis needed for project outcome measurement and a proposed project extension that will allow participating sites to sustain their improvements. View adjusted timeline.


Historical Health Care Spend for Children Enrolled in the CARE Award: 2012-2014
January 25, 2018

Data on patterns of care and patient acuity for the enrolled children prior to the start of the CARE Award.

Caring for Children with Medical Complexity with Help from Parents, Peer Institutions
November 8, 2017

Children's National's Complex Care Program is an established service line and medical home to more than 2,000 medically complex patients.

CARE Award Patient Acuity and Selection Effects
October 6, 2017

This white paper evaluates the acuity level across the claims data sets acquired for analysis of the CARE Award.

Integrating Medical and Behavioral Care Helps Children With Medical Complexity
October 4, 2017

Cook Children's found coordinated case management improved care as more than two-thirds of its medically complex patients also had a behavioral ...

Proactive Care Management Promotes Quality Outcomes for Patients with Medical Complexity
October 4, 2017

Cincinnati Children's launched its care management program to focus extensive care coordination on its highest-risk patient population.

Engaging Families to Improve Care for Children with Medical Complexity
October 4, 2017

A medical home program at UCLA Mattel Children's Hospital provides primary and urgent care for medically complex patients.

Hub Model: A Different Approach to Caring for Children with Medical Complexity
October 4, 2017

Stanford Children's Health employs a "hub model" rather than striving solely to provide a medical home for medically complex patients.

Reducing Admissions, ED Visits and Length of Stay for Children with Medical Complexity
July 27, 2017

The CARE Award strengthens the connection between a children's hospital and the ambulatory network to better care for children with medical ...

Payment Model Guidance for Organizations Caring for Children with Complex Medical Conditions: The CARE Award
July 11, 2017

In the Coordinating All Resources Effectively (CARE) Award, 10 hospitals worked to understand the possibilities for new payment models. This ...

Impacting the Health Care Spend for Children with Complex Conditions
July 10, 2017

CARE Award participants are implementing changes to their current health care delivery systems that are expected to reduce spend and utilization ...

Four New CARE Award Resources Available from 2017 Professional Meetings
July 10, 2017

Knowledge from the CARE Award is being used to develop new research for peer reviewed presentations and publications. Four resources presented this ...

Strategies to Reduce Hospitalizations and Emergency Visits for Children with Medical Complexities
June 12, 2017

As part of the CARE Award, Wolfson Children's Hospital experienced improvement in a number of metrics, including reducing emergency visits.

Key Actuarial Lessons from the CARE Award: Alternate Payment Models for Children with Complex Medical Conditions
June 7, 2017

An actuarial analysis of data from 10 children's hospitals shows substantial potential risks and rewards in alternate payment models for hospitals, ...

Creating Medical and Psychosocial Goals for Patients With Medical Complexity
May 23, 2017

A screening tool helps Children's Hospital Colorado nurse coordinators connect the dots and set social-behavioral and medical goals for patients.

Clinic Helps Children with Medical Complexity Reduce Emergency Room Visits
April 19, 2017

St. Joseph’s Children’s Hospital's Chronic-Complex Clinic for children with medical complexity serves as a medical home to span inpatient and ...

Streamlining Care for Patients with Complex Medical Conditions
April 19, 2017

Children's Mercy Kansas City's Beacon Program improves outcomes and reduces costs for patients with complex medical conditions.

Reference Material
Building Data to Manage a Pediatric Population
March 21, 2017

Details and specifications of a novel data and informatics framework, and lessons learned for sustainability of similar future efforts.

Lessons Learned in the First 18 Months of the CARE Award to Transform Care and Payment Models
September 1, 2016

Early key findings in this three-year project to test change concepts to improve care and reduce costs for children with medical complexity.

5 Ways to Build Relationships With Primary Care Physicians
July 28, 2016

Children's hospitals participating in the Coordinating All Resources Effectively (CARE) Award, share insights on developing effective primary care ...

Implementing Delivery System Transformation
April 26, 2016

Year two of the Center for Medicare and Medicaid Innovation CARE Award (Coordinating All Resources Effectively) is underway.

CARE Award: Early Lessons Learned
October 19, 2015

Children’s hospitals are changing care delivery to improve care management and reduce unnecessary costs for children with medical complexity.



Annual Leadership Conference

Leaders share the latest insights from the CARE award study to improve outcomes and reduce costs for children with medical complexity.