When medical, behavioral, and social services coordinate their care, the needs of the patient are better met.
A small subset of individuals with complex medical, behavioral, and social needs accounts for a disproportionate share of health care spending. The lack of coordination among these services means that patients with complex care needs are often not effectively managed and experience fragmented care and unnecessary hospitalizations.
Our aim is to increase coordination across the areas of acute care, long-term support services, home care, and behavioral health. Community services can and should function in harmony, attuned to the needs of the patient. We back the development of state and federal policies that can improve this coordination. We are also working to integrate housing, nutrition, and transportation with medical services, and we seek to identify, evaluate, and promote effective models of care.