Identifying Very High Cost Patients

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Risk-stratified care management is emerging as a way for practices to increase efficiency and lower costs by identifying sicker patients who are high health care utilizers and devoting extra practice resources to their care..Patients consumed more than half of the Medical charges during Year 2012. Therefore, a dic.omous variable was created by stratifying claim lines into one of two categories: the top 10 of the claim lines with the highest charges were designated as high-cost Farley, Harley, Devine, 2006 whereas the rest were designated as low-cost claim .Importance Physicians need information on how to use the first available high-sensitivity troponin hsTnT ay in the United States to identify patients at very low risk for 30-day adverse cardiac events ACE ..2 Need to Define High-Need, High-Cost Patients and Identify Settings and Payers Very heterogeneous group, with different needs and goals -Multiple chronic, physical illnesses -Mental illness with or without substance abuse -Both physical and behavioral/cognitive problems -Frail elderly with functional impairments -Working-age .

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