The impact of tailored intervention services on charges and mortality for adult super-utilizers

Conclusions The use of tailored services, including a dedicated intensive outpatient clinic, for super-utilizers within a larger primary care practice transformation reduced mortality and provided significant savings, even while total hospitalizations increased. These savings were achieved through a reduction in the intensity of inpatient services. The unexpected finding of a reduction in ICU charges deserves further exploration. Implications These findings suggest that intensity of inpatient service, and not merely volume of services, should be considered a focus for future intervention design and evaluated as an outcome. Level of evidence Level III (Quasi-Experimental Design).
Source: Healthcare - Category: Middle East Health Source Type: research