Characteristics of high-need, high-cost patients: a “best-fit” framework synthesis

ND Berkman, E Chang, J Seibert… - Annals of internal medicine, 2022 - acpjournals.org
Background: Accurately identifying high-need, high-cost (HNHC) patients to reduce their
preventable or modifiable health care use for their chronic conditions is a priority and a …

Use of latent class analysis and k-means clustering to identify complex patient profiles

RW Grant, J McCloskey, M Hatfield, C Uratsu… - JAMA network …, 2020 - jamanetwork.com
Importance Medically complex patients are a heterogeneous group that contribute to a
substantial proportion of health care costs. Coordinated efforts to improve care and reduce …

Applying machine learning algorithms to segment high-cost patient populations

J Yan, KA Linn, BW Powers, J Zhu, SH Jain… - Journal of general …, 2019 - Springer
Background Efforts to improve the value of care for high-cost patients may benefit from care
management strategies targeted at clinically distinct subgroups of patients. Objective To …

Use of data-driven methods to predict long-term patterns of health care spending for Medicare patients

JC Lauffenburger, M Mahesri… - JAMA network open, 2020 - jamanetwork.com
Importance Current approaches to predicting health care costs generally rely on a single
composite value of spending and focus on short time horizons. By contrast, examining …

High‐need phenotypes in medicare beneficiaries: drivers of variation in utilization and outcomes

T Keeney, E Belanger, RN Jones… - Journal of the …, 2020 - Wiley Online Library
OBJECTIVES High‐need (HN) Medicare beneficiaries heavily use healthcare services at a
high cost. This population is heterogeneous, composed of individuals with varying degrees …

[HTML][HTML] Simulation-derived best practices for clustering clinical data

CE Coombes, X Liu, ZB Abrams, KR Coombes… - Journal of biomedical …, 2021 - Elsevier
Introduction Clustering analyses in clinical contexts hold promise to improve the
understanding of patient phenotype and disease course in chronic and acute clinical …

Identifying subgroups of adult high-cost health care users: a retrospective analysis

J Wick, DJT Campbell, FA McAlister… - … Open Access Journal, 2022 - cmajopen.ca
Background: Few studies have categorized high-cost patients (defined by accumulated
health care spending above a predetermined percentile) into distinctive groups for which …

Characterizing potentially preventable hospitalizations of high-cost patients in rural China

S Lu, Y Zhang, L Zhang, NS Klazinga… - Frontiers in public …, 2022 - frontiersin.org
Introduction High-cost patients are characterized by repeated hospitalizations, and inpatient
cost accounts for a large proportion of their total health care spending. This study aimed to …

Finding social need-les in a haystack: ascertaining social needs of Medicare patients recorded in the notes of care managers

PR Shafer, A Davis, JA Clark - BMC Health Services Research, 2023 - Springer
Background Unmet social needs may impair health and access to health care, and
intervening on these holds particular promise in high-risk patient populations, such as those …

[HTML][HTML] Exploring patient multimorbidity and complexity using health insurance claims data: a cluster analysis approach

A Nicolet, D Assouline, MA Le Pogam… - JMIR Medical …, 2022 - medinform.jmir.org
Background Although the trend of progressing morbidity is widely recognized, there are
numerous challenges when studying multimorbidity and patient complexity. For multimorbid …