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Vital Directions from the National Academy of Medicine
October 25, 2016

Tailoring Complex Care Management for High-Need, High-Cost Patients

Author Affiliations
  • 1The Commonwealth Fund, New York, New York
JAMA. 2016;316(16):1657-1658. doi:10.1001/jama.2016.12388

Improving the care of high-need, high-cost (HNHC) patients is a compelling national challenge and should be a high priority for the next federal administration. High-need, high-cost patients, who experience a variety of complex medical conditions, often compounded by limitations in their ability to care for themselves, are among the 5% of patients who account for 50% of health care spending. These patients are also more likely than other patients to experience problems with quality and safety in their care. Physicians, health care organizations, public officials, and other stakeholders involved in health care cannot achieve their quality or cost goals unless they manage this patient population better.

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