Community Resource Coordination For Hospitals | Emergency Room High Utilizers

Navigators Who Find

and Connect High Utilizers

For payers,

states and counties,

health systems.

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Complex Care Management | Complex Care Coordination | Complex Care Program | Complex Care Management Program

CBCS Catalyst Programs

5 Programs that Transform Complex Care

Each is designed to address a particular portion of our broader community complex care program. They allow organizations to address target issues without the cost or time of a full program commitment. Each of the 5 programs is an integral component of our full program model and is designed to position organizations to transition easily into one of our full program models.

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Direct Patient Engagement | Complex Care Management For Payers, Health Systems, & Hospitals | High Utilizers


of Virginia

In December 2021, CBC Solutions launched a partnership with the Virginia Department of Behavioral Health and Development Services (DBHDS) establishing the High Utilizers of Virginia (HUV) program. Since its launch, the DBHDS has approved the program’s expansion, from a pilot serving only Northern Virginia residents, to a statewide initiative.

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Did you know that high resource utilization clients

Have a mortality rate 3x higher than the general public?

Suffer from significant psychosocial issues including homelessness (30%), mental health disorders (40%) and substance abuse (over 50%)?

Account for 18% of emergency department visits nationwide, at an annual cost of $11.2 billion?

Have hospitalizations that last 60% longer than the general public?

There is a strong business case to be made for this work!

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Direct Patient Engagement | Complex Care Coordination | High Utilizers


CBCS’s founder, Dr. Enrique Enguidanos, has over 20 years of clinical experience in Emergency Medicine, much of this time also serving in organizational and systems management roles. For well over a decade he has developed and fine-tuned systems of care and community management systems that have proven very effective for frequent utilizers, and that is now organized in a manner that allows CBCS to continuously reproduce care results across varying communities and health care systems.

Complex Care Management | Complex Care Coordination | Complex Care Program | Complex Care Management Program

Proven Results

CBCS contracted with the Mat-Su Health Foundation to create their HUMS (High Utilizers of Mat-Su) program in 2017. Externally validated first-year results from this program include:

o Reduction in ED visits of over 60%
o Reduction in opioid use of over 20%
o Several million dollars in savings
o Broad community program satisfaction

“Dr. Enguidanos was able to work in our community and quickly get to know local systems, local champions and learn about these important relationships. Over time Dr. Enguidanos was able to help Mat-Su form a High Utilizer program that was customized to the needs of the community and the people making the system work, all the while educating and inspiring them.  In this, he demonstrated an abundance of compassion to the local entity and staff that would run the High Utilizer project.  Also, Dr. Enguidanos values data and uses it to improve program functioning and services to patients.”

Elizabeth Ripley, Chief Executive Officer

Mat-Su Health Foundation

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Caring as Communities Podcast

CBCS is proud to produce a monthly podcast series addressing a variety of social determinant health issues. Click below to learn more and to listen to our podcast!

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Caring As Communities Podcast: Top 5 Most Listened to Episodes

We love creating the Caring As Communities Podcast & sharing it with all of you. We hope it serves as a valuable resource to you as you navigate the community health space. In case you are View Podcast

Caring as Communities Podcast: Community Outreach & Complex Care

Community outreach is an effective approach to addressing the issues of complex medical and social care, but setting up such programs can pose unique challenges as well. Listen as Natasha Dravid, MBA and Senior Director View Podcast

Caring as Communities Podcast: Complex Care During the Holidays

The holidays present unique challenges when it comes to supporting complex care populations. Join in as Jeneen Skinner, Senior Clinical Manager at the Camden Coalition, returns to discuss ways to improve care for complex patients—and View Podcast

Caring as Communities Podcast: Supporting Communities Through Multidisciplinary Care

Patients with high resource utilization are “touching” multiple resources within any given community, but in most places across the country, any care received is happening within silos. Dr. Enrique Enguidanos welcomes Ray Michaelson, Program Manager View Podcast

CBC Solutions News

Read the latest news, studies and events from the CBC Solutions team.

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CBCS Donates Thousands to VA Nonprofits

CBCS cares for the communities we serve. Currently, we are working on the High Utilizers of Virginia (HUV) program in Northern VA. Our HUV program staff works closely will all existing resources that connect with Read More

Supporting Behavioral Health Patients through Wraparound Services

By Enrique Enguidanos, MD, MBA The High Utilizer of Virginia (HUV) program reduces duplication of efforts while improving the quality of care for enrolled members. Improved care collaboration and 24/7-member access to support provided by Community Read More

Join us at the Putting Care at the Center Conference

Join us in sunny Sacramento, CA, September 21-23, 2022, for the seventh annual conference for the complex care field. CBCS is a proud sponsor of this important event. The theme of this year’s event is Values and Read More

Webinar: Homelessness and Emergency Department Care

Wednesday, March 16th, 2022 | 1:00 PM CT People experiencing homelessness are often managing significant complex health issues but are unable to access needed primary care or must prioritize immediate survival over health management. The result Read More