Who Are People with Complex Needs?

High-need individuals are a diverse population with clinically complex needs, functional limitations, and/or behavioral health conditions, and incur high health care costs or are likely to in the near future. Rates of hospitalizations, emergency department use, and home health services are significantly higher for these individuals than the nation at large. Because there is no “one-size-fits-all” approach to support people with complex needs, the first step in meeting their needs is to identify subgroups (or segments) with similar needs and/or service use patterns in order to tailor interventions appropriately.

Access the Playbook's full library of resources on identifying people with complex needs.