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

Am J Manag Care. 2015 Nov 1;21(11):e597-600.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accountable Care Organizations / economics
  • Accountable Care Organizations / organization & administration
  • Cost Control / methods*
  • Cost Control / organization & administration
  • Health Care Costs
  • Health Services Needs and Demand / economics
  • Humans
  • Leadership
  • Patient Readmission / economics
  • Patient Transfer / economics
  • Patient Transfer / organization & administration
  • Patient-Centered Care / economics
  • Patient-Centered Care / organization & administration
  • Program Evaluation