Prospects for Care Coordination for Children with Medical Complexity – AAF

While most children covered by Medicaid require only routine and inexpensive medical services, some complex cases require considerable medical coordination and significant resources.

Coordinating care between medical facilities and employing capitated payments, shared savings models, or other incentive-based payments could improve medical outcomes and save both federal and state Medicaid dollars.

Proposed changes to the care coordination of medically complex children covered by Medicaid could save as much as $13 to $16 billion over the first 10 years of implementation, and has the potential to save more in future years.

Source: Prospects for Care Coordination for Children with Medical Complexity – AAF

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