The publication of Atul Gawande’s groundbreaking New Yorker article, “The Hot Spotters,”1 intensified interest in identifying “high-users,” those patients who use the most health care services and are extremely expensive for their health care systems, and developing better and less expensive ways to care for them. These programs attempt to replace costly ambulance trips, emergency department visits, and hospitalizations with patient-centered primary care, case management, and access to key services such as social work, transportation, and substance abuse treatment.
Katz MH. Trust but Verify (Ideally With a Randomized Clinical Trial). JAMA Intern Med. 2017;177(2):162–163. doi:https://doi.org/10.1001/jamainternmed.2016.8433
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