Skip to main content

Advanced Search

Advanced Search

Current Filters

Filter your query

Publication Types



Newsletter Article


In Many States, High-Need Patients Face High Barriers to Health Care

High need high cost patients experience unique challenges

Building on previous Commonwealth Fund research on high-need patients in the U.S., a new analysis of national data sheds light on how access to care, barriers to receiving needed care, and satisfaction with services received compare among all 50 states and the District of Columbia. Authors David Radley, Susan Hayes, and Douglas McCarthy find that in all states, people with high needs — who account for between 8 percent and 20 percent of adults — are more likely than the overall population to face cost-related barriers and to be less satisfied with the care they receive. But in some states, health system performance is much worse than in others.

Publication Details