Bending the Cost Curve — Fact Sheets

Brief
Key Questions Answered
  • What are some effective strategies for identifying and managing high-risk populations?
  • What are key factors to implementing these strategies?
Key Themes and Takeaways

This resource contains three two-page briefs, summarizing a larger report, Effective Management of High-Risk Medicare Populations, each of which includes specific recommendations and key numerical findings.

  • The first brief explains how to identify high-risk Medicare beneficiaries. It emphasizes that health plans and at-risk organizations should account for non-medical characteristics — such as functional and cognitive impairments, behavioral health conditions, lifestyle and living situation, and social supports — in identifying beneficiaries.
  • The second brief explains how to enhance the use of Health Risk Assessments (HRAs). HRAs with well-targeted questions enable plans and providers to proactively identify people most at risk of high-cost health care utilization.
  • The third brief explains how to achieve positive return on investment through targeted care coordination programs. Common components of successful models include integrated care coordination and care transitions with care plans that are developed and implemented based on the individual’s goals and needs.
Population Addressed
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Expert Opinion
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