• Report
  • July 10, 2017

Impacting the Health Care Spend for Children with Complex Conditions

Children with complex medical conditions (CMC) represent a high-cost population for children’s hospitals.  Children’s hospitals can begin now to learn how participants in the Coordinating All Resources Effectively (CARE) Award are implementing changes to their current health care delivery systems through development and implementation of change concepts.  The effort is anticipated to reduce spend and utilization while improving the quality of care for 8,000 CMC patients enrolled in the project.

The CARE Award project approach is described with initial learning to achieve smarter spending, healthier children, and better care for the CMC population.  Children’s hospitals will begin to understand and explore aspects needed for delivery system reform that will be addressed by the CARE Award:

  • Population patterns of spend and resource use
  • Care delivery models that are anticipated to improve care and impact patients’ utilization services
  • Changes to traditional reimbursement structures needed to support care management
  • Care delivery unreimbursed infrastructure costs
  • Alternative payment models proposed as viable options
  • Targets that will support a new payment model
Visit the CARE Award page for more information.