Complex needs

The AHRQ Academy has released a new guide on health equity and behavioral health integration designed to help practices reduce health disparities and advance health equity by promoting belonging, dignity and justice for providers and patients from marginalized groups. The AHRQ Academy aims to support the integration of behavioral health into primary and ambulatory care settings with a focus on providing care for patients using substances, particularly opioids, and for those with mental health conditions. This guide provides tools and resources for addressing economic and social inequities, bias, discrimination and racism.

Patient and staff-reported measures are a key way to assess the quality and experience of care for people with complex needs. CHCS worked with health care organizations to test new measures for understanding patient and staff experiences related to well-being, equity, goals of care, and care integration. This brief explores insights from the Center for the Urban Child and Healthy Family at Boston Medical Center, Hill Country Community Clinic, and Denver Health, which used these measures to assess quality within their organizations.

This brief outlines lessons from the Center for Health Care Strategies’ MassHealth Care Planning Learning Collaborative, where Massachusetts Accountable Care Organizations and Community Partners integrated care planning across their organizations to improve care for Medicaid members with complex needs. This brief can inform providers, payers, and community partners in other states seeking to improve care for people with complex health and social needs.

State Medicaid programs are increasingly opting to cover home and community-based services. This report looks at the efforts of various state Medicaid programs, examines their structure, and highlights the challenges encountered. From this review, GAO highlights three main challenges: 1) difficulty recruiting and retaining home care workers, 2) difficulty serving those with complex needs and, 3) limited funding for HCBS services.