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.


Reducing Admissions ED Visits and Length of Stay for Children with Complex Medical Conditions
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 ...

Estimating Your Costs to Manage a Population Caring for Children with Complex Medical Conditions (CMC)
July 10, 2017

The application of care management to a specific population within the CARE Award targets cost reduction using quality improvement to innovate and ...

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.

Alternate Payment Models for Children with Complex Medical Conditions: Key Actuarial Lessons from the CARE Award
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
January 3, 2017

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.