CBC Solutions (CBCS) will typically contract with a payer and/or at-risk entity (e.g. insurer, health system, accountable care organization, managed care organization, and/or health foundation) to coordinate improved service delivery for identified patients, typically those that an organization have found difficult to manage and/or has been identified as a high-cost client.
CBCS staff engage with community resources across the spectrum of care. High utilization clients have typically engaged in, and are well known to, multiple community resources. We work closely with said community resources to address clients’ needs in a holistic fashion and to more effectively utilize resources across the continuum of care.
Ways to Engage With CBC Solutions:
Full Implementation Model
This is a “turn-key” solution intended for communities that have limited or no high-resource utilization efforts currently in place. CBCS staff will be hired within the community of care and will address and manage all program efforts, working directly with all community resources affected by high-resource use members.
This solution is intended for communities that have existing high utilization care coordination efforts in place but have either found the efforts to be less effective than desired, and/or have identified a need for additional guidance in establishing a truly community-based approach.
Small Program Projects
CBCS has developed four “Small Program Projects” intended for communities and/or payers that may want to begin high resource utilization work on a smaller scale. Each of the four programs is a component of the larger CBCS models and vary in length from 6-9 months.
- Care Plan Development and Emergency Department Relations
- Law Enforcement and Correction Facility Relations
- Community Multi-Disciplinary Team Development
- Community Opioid Management
Community Resources Typically Engaged by CBC Solutions Include:
- Emergency medicine staff and providers
- Hospitalists and hospital staff
- Primary care providers
- Community specialty providers
- Behavioral health specialists and centers
- Chemical dependency specialists and centers
- Law enforcement agencies
- EMS agencies
- Housing authorities
- Jail services
- Housing Authorities
- Food bank services
- Job placement services
- Protective services
- Therapeutic court systems
- Transportation services
6 identified Best Practices:
- Live staff in every community being served. LEARN MORE HERE.
- Community resource engagement. LEARN MORE HERE.
- Individualized care plans for each client enrolled. LEARN MORE HERE.
- Support of Community IT Systems. LEARN MORE HERE.
- Immediate Access Fund. LEARN MORE HERE.
- Performance-based model of reimbursement. LEARN MORE HERE.
CBC Solutions typically requests an annual target of enrollees from contracted entities, ideally enrolled in fairly equal monthly cohorts over the course of the year. For most effective client engagement, CBC finds that enrollment of at least 150 high utilization clients per year is ideal; CBC can accommodate any annual enrollment request above this level.
CBC Solutions recognizes that certain communities and/or organizations prefer to retain services such as ours within their current systems of care, and for such organizations, we have developed partnership and consultation models of care.