Baltimore 410-987-1048

Washington 301-621-7830


Population Health

The Coordinating Center works with hospitals, health systems, and community organizations to deliver customized care coordination and care transition models for high risk and at risk populations, including Medicaid, Medicare, the dual eligible, and homeless. Much of our work is focused on the goal of reducing unnecessary health service utilization (emergency room, observation and inpatient), and social determinants of health.

The Center’s evidence-based care coordination and transition interventions are focused on meeting the goals of the Triple Aim: improving the health of the population, enhancing the experience and outcomes of the patient, and reducing per capita cost of care for the benefit of communities.

Our skilled staff has expertise in developing relationships with individual clients, professionals and others working on behalf of an individual’s health and other needs. Our success is driven by three core elements: experienced, well trained teams, cutting edge technology, and a successful program design evidenced by measurable outcomes.