全球智库信息集成服务系统(G2TT): How Accountable Care Organizations Use Population Segmentation to Care for High-Need, High-Cost Patients

G2TT

来源类型	Publication
	How Accountable Care Organizations Use Population Segmentation to Care for High-Need, High-Cost Patients
	Ann S. O’Malley; Eugene C. Rich; Rumin Sarwar; Eli Schultz; W. Cannon Warren; Tanya Shah; and Melinda K. Abrams
发表日期	2019-01-03
出版者	New York, NY: The Commonwealth Fund
出版年	2019
语种	英语
概述	ACOs use a range of approaches to segment, or group, their sickest and costliest patients by the level of care management they require. By engaging primary care clinicians’ help in subdividing the high-need, high-cost (HCHN) patient population, ACOs can increase the usefulness of results and frontline providers’ willingness to use them.",
摘要	Key Findings: New payment and care delivery models such as accountable care organizations (ACOs) have prompted health care delivery systems to better meet the requirements of their high-need, high-cost (HNHC) patients. We explored how a group of mature ACOs are seeking to match patients with appropriate interventions by segmenting HNHC populations with similar needs into smaller subgroups. Although there was no consistent set of subgroups for HNHC patients across ACOs, there were some common ones. Respondents noted that when primary care clinicians were engaged in refining segmentation approaches, there was an increase in both the clinical relevance of the results as well as the willingness of frontline providers to use them. Population segmentation results informed ACOs’ understanding of program needs, for example, by helping them better understand what skill sets and staff were needed to deliver enhanced care management. This issue brief explores how a group of mature Accountable Care Organizations subdivide or “segment” their HNHC patients so that they can better plan for care management for those patient subgroups needs.
URL	https://www.mathematica.org/our-publications-and-findings/publications/how-accountable-care-organizations-use-population-segmentation-to-care-for-high-need-high-cost
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/489467
推荐引用方式 GB/T 7714	Ann S. O’Malley,Eugene C. Rich,Rumin Sarwar,et al. How Accountable Care Organizations Use Population Segmentation to Care for High-Need, High-Cost Patients. 2019.