title: Attributes common to programs that successfully treat high-need, high-cost individuals.
abstract: Using literature review and interviews, we have identified 8 attributes of programs, such as accountable care organizations, readmission initiatives, special needs plans, care transition programs, and patient-centered medical homes, that successfully treat high-need, high-cost patients. These 8 attributes--illustrated here with specific examples--are specific ways to target these types of individuals, promote leadership at various levels, emphasize interaction with the care coordinator, use data strategically to refine the program, update the program periodically, allow physicians to spend more time with patients, and promote interaction among clinicians and high-need, high cost patients and their families.
authors.affiliation: Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Baltimore, MD 21205. E-mail: Ganderson@jhu.edu.
authors.forename: Gerard F
authors.initials: GF
authors.lastname: Anderson
authors.forename: Jeromie
authors.initials: J
authors.lastname: Ballreich
authors.forename: Sara
authors.initials: S
authors.lastname: Bleich
authors.forename: Cynthia
authors.initials: C
authors.lastname: Boyd
authors.forename: Eva
authors.initials: E
authors.lastname: DuGoff
authors.forename: Bruce
authors.initials: B
authors.lastname: Leff
authors.forename: Claudia
authors.initials: C
authors.lastname: Salzburg
authors.forename: Jennifer
authors.initials: J
authors.lastname: Wolff
mesh_terms: D060866:Accountable Care Organizations / Q000191:economics / Q000458:organization & administration; D003363:Cost Control / Q000379:methods* / Q000458:organization & administration; D017048:Health Care Costs; D006301:Health Services Needs and Demand / Q000191:economics; D006801:Humans; D007857:Leadership; D010359:Patient Readmission / Q000191:economics; D010360:Patient Transfer / Q000191:economics / Q000458:organization & administration; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration; D015397:Program Evaluation