Integrating Social Services into Care for the High-Need, High-Cost Population: Webinar Recording and Resources

Effectively caring for high-need, high-cost patients requires providers to think beyond the clinical setting and tackle the social determinants of health. Yet integrating social services into health care can be a daunting challenge that requires a clear understanding of the target population, available resources, and an effective integration model.  

Join our speakers as they walk through a new Task Force-endorsed framework on social services integration, and provide an in-depth case study on how one high-performing community health system has successfully infused social services into its care delivery system.

View the webinar recording.

Presentation Deck

Additional Resources:

HCTTF Resource Sheet

Additional relevant programs and resources for organizations interested in social services integration.

Better Care Playbook

A collaborative project that is geared at helping health care organizations participating in value-based payment models and adopting evidence-based interventions to improve outcomes and lower overall costs of care

AHRQ Statistical Brief on Health Expenditure Concentration



Task Force Joins Leading Health Groups Urging CMS to Promote APMs in Medicare Advantage

The Health Care Transformation Task Force joined nine organizations in a letter to Department of Health & Human Services Secretary Tom Price, proposing that the Administration offer credit for advanced alternative payment model (APM) arrangements within Medicare Advantage as part of the Medicare Access and CHIP Reauthorization Act (MACRA). The Task Force co-signed the letter with the following national health organizations: CAPG, NCQA, Healthcare Leadership Council, America’s Health Insurance Plans, Pacific Business Group on Health, Direct Primary Care, Alliance of Community Health Plans, National Coalition on Health Care, and the Blue Cross Blue Shield Association.

Read the letter



Task Force provides comments to CMS regarding EPM Interim Final Rule

The Task Force has submitted comments to CMS on the interim final rule with comment that delayed the start date for the AMI, CABG, SHFFT, and CR incentive payment models from July 1, 2017 until October 1, 2017.  CMS sought comment on further delaying the EPM start date until January 1, 2018. The Task Force advocated for flexibility for providers that would prefer an earlier start date if the decision is made to delay to 2018, and reiterated themes from our comment letter on the initial NPRM.

Read the letter.



Task Force provides recommendations to CMMI on new ACO Track 1+ and Advanced BPCI models

In a letter to CMMI leadership, the Task Force offers consensus recommendations on how to improve the design of the new ACO Track 1+ and Advanced Bundled Payments for Care Improvement models. These recommendations build on practical experience from the Task Force’s Accountable Care and Bundled Payment workgroups, and identify opportunities to improve the sustainability and attractiveness of the programs for participants.  They also address the issue of model overlap through a set of guiding principles that are applicable to both public and private payers.  

Read the letter

Explore the overlap principles

Principles for Clinical Episode and Population-Based Payment Overlap

While both episode-based and population-based payment models present opportunities for improvement in quality and care, they are not always in alignment. The recent implementation of Medicare-focused alternative payment models has resulted in instances of overlap, where multiple providers may be responsible for the same patient under different models. While this does not create a problem by itself, it can create inefficiencies and challenges that are ultimately at odds with the end goal of delivering higher quality and more integrated care.

The Task Force has developed a set of guiding principles to govern the development of best practices in public and private payer models.

Read the principles.


The Task Force Joins Leading Healthcare Organizations in Support of Value-Based Care Principles

In a letter to Congress and the Administration, a coalition of clinicians, employers, hospitals, pharmacists, consumer groups and insurance providers called for a renewed effort to move to value-based, patient centered payment models that reward improved quality and cost-effective care. The Task Force along with 120 co-signers recommend 10 key policy principles to keep momentum behind the shift to a modernized, sustainable healthcare system.

Read the letter.

Read the press release.

Forbes: "Health Coalition Worries Trump Doesn't Grasp Value-Based Care"

A coalition of large health systems, employers and insurers would like Donald Trump and the Republican-controlled Congress to keep the march from fee-for-service medicine to value-based care going after President Barack Obama leaves the White House.

The 43-member Health Care Transformation Task Force includes Aetna; Blue Cross and Blue Shield plans in Illinois, Michigan, Texas and Massachusetts; major employers like Boeing and Qualcomm; and health systems like Advocate Health Care, Dignity Health and Catholic Health Initiatives.

Read the full article.