This report, authored by researchers from the Dartmouth Institute for Health Policy and Clinical Practice and supported by The Commonwealth Fund, The John A Hartford Foundation, Milbank Memorial Fund, Peterson Center on Healthcare, the Robert Wood Johnson Foundation, and The SCAN Foundation, provides an overview of strategies employed by accountable care organizations (ACOs) across the country to provide comprehensive care management for patients with complex care needs. Based on a descriptive analysis of the fourth wave of the National Survey of ACOs, the authors found that most ACOs report having comprehensive chronic care management processes or programs in place to manage people with complex needs, but that more labor-intensive interventions like in-home visits after hospital discharge are rare.

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