Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Attributes common to programs that successfully treat high-need, high-cost individuals

TitleAttributes common to programs that successfully treat high-need, high-cost individuals
Publication TypeJournal Article
Year of Publication2015
AuthorsAnderson, GF, Ballreich, J, Bleich, S, Boyd, C, DuGoff, E, Leff, B, Salzburg, C, Wolff, J
JournalAm J Manag Care
Date PublishedNov
ISBN Number1936-2692 (Electronic)1088-0224 (Linking)
Accession Number26735292
Keywordsaccountable care organization, article, electronic medical record, health care cost, health care need, health care planning, health care policy, high risk patient, hospital readmission, human, leadership, managed care organization, medicaid, Medicare, nurse, patient care, priority journal, semi structured interview, social work, social worker

Using literature review and interviews, we have identified 8 attributes of programs, such as accountable care organizations, readmission initiatives, special needs plans, care transition programs, and patient-centered medical homes, that successfully treat high-need, high-cost patients. These 8 attributes--illustrated here with specific examples--are specific ways to target these types of individuals, promote leadership at various levels, emphasize interaction with the care coordinator, use data strategically to refine the program, update the program periodically, allow physicians to spend more time with patients, and promote interaction among clinicians and high-need, high cost patients and their families.