Predicting high-cost privately insured patients based on self-reported health and utilization data.

CONCLUSIONS: Efficient targeting of high-cost patients is crucial to the success of innovative care delivery models that attempt to lower costs and improve quality of care through more intensive care management of patients. The results of this study show that in the absence of claims data on prior use and expenditures, patient-reported measures of health status and prior healthcare use are reasonable predictors of future healthcare costs for a privately insured population. PMID: 28850789 [PubMed - in process]
Source: The American Journal of Managed Care - Category: Health Management Authors: Tags: Am J Manag Care Source Type: research