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Delivery System Reform Advisory Group Meeting


June 13, 2014, 9:30 a.m.–3:00 p.m.

Agenda: PDF


Background materials:


Welcome, Introductions, and Charge to the Advisory Group


Session 1. High-Need, High-Cost Patients: Who Are They? How Should They Be Defined? What Is Their Service Use?

  • Karen Joynt, Atul Gawande, John Orav & Ashish Jha: Contribution of Preventable Acute Care Spending to Total Spending for High-Cost Medicare Patients, JAMA, June 2013: PDF 
  • Analysis of Medical Expenditure Panel Survey by Gerard Anderson and Eric Roberts
    • Table 1: Demographic characteristics of high-cost patients
    • Table 2: Demographic characteristics of persistently high-cost patients
    • Table 3: Demographic characteristics of high-need patients
  • Haydn Bush, Health Care’s Costliest 1%, Hospital and Health Networks, September 2012


Session 2. Models That Seem to Work: Common Attributes and Challenges

  • Doug McCarthy, What Do We Know about Care Models That Work for High-Need, High-Cost Patients?: PowerPoint
  • Chad Boult et al., Successful Models of Comprehensive Care for Older Adults with Chronic Conditions: Evidence for the Institute of Medicine’s “Retooling for an Aging America” Report, Journal of the American Geriatrics Society, Dec 2009: PDF
  • Randall Brown et al., Six Features of Medicare Coordinated Care Programs that Cut Hospital Costs for High Risk Patients, Health Affairs, June 2012: PDF 
  • C. S. Hong, A. L. Siegel and T. G. Ferris, Caring for High-Need, High-Cost Patients: What Makes for a Successful Care Management Program? CONFIDENTIAL Document


Session 3. What Is High Performance Health Care for High-Need, High-Cost Patients?


Additional reading:

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