The report discusses the need for enhanced roles for in-home supportive services workers in care coordination for consumers with chronic conditions. The authors suggest that despite the availability of health insurance, many individuals with chronic conditions receive uncoordinated, episodic care, leading to unnecessary hospitalizations and emergency department visits. The authors argue that improving care coordination for these individuals could help to "bend the cost curve" by reducing unnecessary medical expenses. The report concludes by suggesting that the implementation of the Affordable Care Act provides an opportunity to rethink how health care is delivered to individuals with chronic conditions.