Forum Session

Coordinating Care for Adults with Multiple Chronic Conditions: Searching for the Holy Grail
March 27, 2009


Carol V. O'Shaughnessy, MA


Chronic care is currently a hot topic of conversation among daily news programs, research journals, health care professionals, and patients. Health care analysts worry about the costs and quality of care, physicians worry about how to manage care, and patients worry about their health. Both the government and the private sector have tried a variety of chronic care interventions to remedy what many see as a failed system of care, characterized by a lack of coordination among providers, patient confusion, and poor outcomes. Two Forum sessions focused on efforts to improve chronic care quality and control costs through care coordination. At this first session, speakers discussed the prevalence and demographics of chronic care needs, their impact on delivery and financing patterns, and research and demonstration efforts that have tested ways to better coordinate and manage patient care. At the second session (April 3), speakers offered perspectives on selected models that offer promise for future federal policy.


Gerald Anderson, PhD, Professor of Health Policy and Management and International Health, Bloomberg School of Public Health, Johns Hopkins University; David B. Reuben, MD, Director, Multicampus Program in Geriatrics Medicine and Gerontology, and Chief, Division of Geriatrics, UCLA Center for Health Sciences; Randall S. Brown, PhD, Vice President and Director of Health Research, Mathematica Policy Research, Inc.; Robert Berenson, MD, Senior Fellow, The Urban Institute

Slides from the presentations by Dr. Anderson, Dr. Reuben, and Dr. Brown are available for download. Speakers' biographies are also available.

Related Materials

See the entry for the companion meeting (April 3, 2009).

See also "Chronic Conditions: Making the Case for Ongoing Care" (chartbook by Gerald Anderson, Johns Hopkins Bloomberg School of Public Health, November 2007) and "The Promise of Care Coordination: Models That Decrease Hospitalization and Improve Outcomes for Medicare Beneficiaries" (Randall Brown, Mathematica Policy Research, Inc., March 2009).

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