Earlier this year, The Commonwealth Fund’s International Experts Working Group on Patients with Complex Needs identified the principles underpinning high performance in care for patients with high needs and high costs and issued 10 recommendations for achieving that goal. The revised and expanded edition of Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers offers information about how innovative programs in nations as diverse as Sweden, Israel, Spain, and the U.S. are following these principles to break the mold in frontline care delivery.