JPHMP Direct January 30, 2023
High-intensity primary care models can reduce healthcare utilization, but robust multidisciplinary approaches are necessary to improve risk stratification, social determinants of health, and behavioral health for high-needs, high-cost patient populations.
The total cost associated with healthcare in the United States continues to climb, with healthcare expenditures now representing 18.3% of the gross domestic product. Healthcare spending remains highly concentrated, with a small proportion of patients accounting for more than half of total healthcare costs; this group of patients have been referred to as high-need, high-cost patients (HNHC). With the evolving landscape for financial reimbursement in healthcare shifting from traditional fee-for-service to value-based contracts, finding ways to manage both costs and quality of health for HNHC patients is imperative.
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