Quadruple Aim

Managing Populations With Multiple Chronic Conditions (MCCs)

MCCs represent an increasingly disproportionate share of healthcare utilization and cost

MCCs, which are defined as 2 or more physical or mental chronic conditions, are common and costly. The AHRQ started Transforming Care for People Living With Multiple Chronic Conditions in 2020 as a way to address the serious threat they pose to patients, providers, and health systems.1

1 out of 3 adults have MCCs1

​ 1 out of 3 adults have multiple chronic conditions graphic
70%
of inpatient stays are 
due to MCCs1
 
83%
of prescriptions are 
due to MCCs1

Patient-centered care approaches are helping manage populations with MCCs

Health systems and organizations across the United States have experienced the benefit of using these interconnected, patient-centered solutions to manage populations with MCCs.2-4 These solutions increasingly consider the importance of addressing social determinants of health.

For instance, the CDC offers innovative approaches through its National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) to reduce chronic diseases and related health disparities for population groups affected by health inequity5

Patient centered care approached graphic

Learn more about organizational health literacy strategies to improve outcomes in vulnerable populations with chronic conditions

Learn about cardiometabolic evidence-based guidelines

Learn about COPD evidence-based guidelines

Learn about how Grady Health System is overcoming health inequities