Understanding Who Becomes and Remains a High-Need, High-Cost Patient and the Association with Mental Illness, Phase 2


In phase 1 of this project, Ashish Jha, M.D., and his team identified six clinically distinct segments of patients, each with different medical needs, patterns of utilization, and likelihoods of incurring high health care costs. Building on their understanding of the heterogeneity of this population, the researchers will seek in phase 2 to identify who becomes high-cost, who remains high-cost, and what role mental health conditions play. In phase 2, Jha’s team will create a patient-level database that aggregates Medicare claims with additional data from in-patient, long-term care, home health sources, and patient surveys. Findings from these analyses will help health system leaders and policymakers target their efforts to improve care and reduce spending for the most expensive patients. In particular, a better understanding of patient subgroup characteristics should enable health systems to match patients to the most appropriate interventions.

Grant Details

Grantee Organization:
President and Fellows of Harvard College
Principal Investigator:
Ashish Jha, M.D., M.P.H.
Award Amount:
Approval Date:
April 12, 2016
Related Topics
Health Care Delivery

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