The Unsung Non-Reimbursed Costs for Care Coordination of Children with Medical Complexity

As we move toward a system of value-based care where the focus is on high quality, cost-effective care of populations, payors are setting rates per member per month that are designed to maximize the preventive health aspects of a care team rather than the costs of acute illnesses. Yet nowhere are preventive strategies more needed and yet often neglected due to more acute illnesses that arise than in children with medical complexity (CMC).