AHIP March 11, 2019
Managing high-risk, medically complex patients poses a challenge for providers, health systems and insurers alike. Patients with multiple chronic conditions require a high-touch, tailored care model, but the size of the population—less than 5 percent of all patients—
is typically not large enough for any one provider, group or health system to justify the significant investments required to manage them appropriately.
Payors, however, have a unique opportunity to leverage the scale they have across a geographic area and align incentives for new entrants to create the necessary care models, driving quality and cost improvements for their...