The "integration" of health and human service delivery systems is on the rise. Seventy-three percent of primary care provider organizations have integrated treatment for co-occurring disorders (see The 2022 OPEN MINDS National Innovation Survey: Innovation Adoption Among Specialty Provider Organizations) and 51% of specialty provider organizations have an integration strategy (see The State Of Whole-Person Care: A National Survey Of The State Of Integration In The Behavioral Health & Intellectual/Developmental Disabilities). More than 10,000 practices (with 50,000+ clinicians) are recognized by NCQA as patient-centered medical homes (see Patient-Centered Medical Home).

But does . . .

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Chronic Disease Management

The chronic disease management market encompasses consumers with chronic, complex conditions such as chronic kidney disease, diabetes, and heart disease. The challenges faced in this market are often compounded by the need for social services and supports. For provider organizations and health systems managing consumers with chronic conditions, a significant challenge that remains is addressing the rising cost of care for this population. As a result, payers are focusing on reducing the spend by increasing integrated models of care coordination across medical, behavioural, pharmacy, and social support systems. These new market forces are creating strategic opportunities for provider organizations that are serving this population.


There were 13.6 million people who were fully or partially dually eligible for Medicare and Medicaid for at least one month in 2022, according to a recent report conducted by two independent congressional agencies, the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission. Combined state and federal spending for dual eligibles totaled $548.8 billion in calendar year 2022. Medicare accounted for $351.4 billion (64%). About 38% of dual eligibles were… Read