High risk patients need better handling


Healthcare spending will increase in 2014 if high-risk patients and events are not properly managed. That is the view put forward in a set of five predictions for value-based care in 2014 released by care delivery innovation company Lumeris.

It states that the costliest one percent of patients account for 21 percent of US health spending, and that without care management programs that provide the technology, tools and workflows to support physicians, care managers, care coordinators and social workers in the stratification, engagement and management of high-risk patients and events, the industry will struggle to provide better quality care at a lower cost for people with multiple health and social needs.

“High-risk patients represent significant utilization and an increase in spending that does not typically result in quality improvement,” said Lumeris Medical Director Deborah Robin. “To achieve better care at lower cost, health systems need to change the way they manage high-risk patients and create an entire care community that works together to ensure each patient receives the right care, in the right place, at the right time.”

Lumeris, Deborah Robin, healthcare spending, high risk patients