Understanding the Health and Health Care Needs of High-Cost Patients: Evidence for Care Coordination and Payment Reform


A small proportion of all patients accounts for a disproportionate share of health care spending in the United States.  Numerous studies have identified and described patients with high levels of health care spending, but few have simultaneously examined a broad set of patient- and delivery system-level factors to identify ways to improve care quality and lower costs.  This project will examine patient characteristics and patterns of use that are predictive of expensive medical care to provide a better understanding of which particular delivery system reforms are best suited to the health and social needs of this patient population.  The resulting analyses will inform The Commonwealth Fund’s work on delivering care to the nation’s sickest and frailest.

Grant Details

Grantee Organization:
Johns Hopkins University
Principal Investigator:
Gerard F. Anderson, Ph.D.
Award Amount:
Approval Date:
February 7, 2014

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