“Guided Care” for People with Complex Care Needs

One-quarter (24%) of Americans have two or more chronic conditions. The health care of many of these “multi-morbid” Americans is often fragmented, low-quality, inefficient, and unsatisfactory to them and to their physicians. The Institute of Medicine has described chronic care in America as “a nightmare to navigate.” As a result, many Americans with multi-morbidity have suboptimal health, and they generate high healthcare expenditures: 96% of the Medicare budget is spent on beneficiaries with multiple chronic conditions.