High-cost high-need patients in Medicaid: segmenting the population eligible for a national complex case management program

Abstract Background High-cost high-need patients are typically defined by risk or cost thresholds which aggregate clinically diverse subgroups into a single ‘high-need high-cost’ designation. Programs have had limited success in reducing utilization or improving quality of care for high-cost high-ne...

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Bibliographic Details
Main Authors: Jacob K. Quinton, O. Kenrik Duru, Nicholas Jackson, Arseniy Vasilyev, Dennis Ross-Degnan, Donna L. O’Shea, Carol M. Mangione
Format: Article
Language:English
Published: BMC 2021-10-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-021-07116-6