Weill Cornell Medical College researchers Dhruv Khullar and Rainu Kaushal in a commentary published in this month’s issue of The American Journal of Managed Care say “precision” can be deployed to boost care for high-need, high-cost (HNHC) patients, but investments are needed in the areas of data infrastructure and sharing.
According to the paper, there exists a disproportionate share of health spending toward HNHC patients, with one percent of the U.S. population accounting for 21 percent of spending and more than half of spending accounting for only five percent of the population.
The authors say the following are some obstacles to gathering and analyzing data about the patients:
- Limited data sharing across health facilities and systems;
- Data analyses is limited by payer type; and
- A reliance upon claims data which may fail to fully account for the presence and severity of chronic disease and mental illness.
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