Since 2015, our Primary Health Care team has worked in collaboration with the Estonian Health Insurance Fund (EHIF) and the World Bank to build and pilot an enhanced care management program for primary health care. Enhanced Care Management is a package of interventions that includes identifying high-risk patients through risk stratification, developing care management plans for these patients, proactively linking care providers, and cultivating multidisciplinary primary health care team models of care.
In 2020, Ariadne Labs began working with EHIF and the World Bank to apply the lessons learned during that initial pilot to nationally scale the program, with the goal of ultimately reaching all 800 of Estonia’s primary care practices.