PMID: 30815133Mar 1, 2019Paper

Longitudinal Clustering of High-cost Patients' Spend Trajectories:Delineating Individual Behaviors from Aggregate Trends

AMIA ... Annual Symposium Proceedings
Andrew M PlaconaFengjuan Wang

Abstract

For the past decade, there has been a concerted effort to fulfill the promises of the Triple Aim-improving patient experience and quality while lowering costs by focusing on high-cost patients via Care Management. Despite the well-known fact that high-cost patients make up roughly half of all annual medical expenses, little has been studied about high-cost patients' cost trajectories. This paper focuses on the trajectory patterns for high-cost Medicare patients, which provides another dimension to understanding optimal program intervention. We performed a retrospective observational study employing Longitudinal K-Means Clustering. We discovered there are two major categories based on overall utilization: "persistent" and "episodic". Both cohorts churn to some degree in the post high-cost year. These results highlight that high-cost patients churn, and the existence of high-cost patient sub-cohorts warrant further exploration around the patient profile for each cohort. This finding could influence the current dialogue about the understanding and ability to impact high-cost patients through appropriate intervention and, more importantly, at the right time to attenuate the cost and improve quality of care.

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Japanese Journal of Medical Science & Biology
M MATSUO
JAMA : the Journal of the American Medical Association
Karen E JoyntAshish K Jha
Journal of the American Medical Association
F G DICKINSON
Journal of the American Board of Family Medicine : JABFM
Winston LiawAndrew Bazemore
© 2022 Meta ULC. All rights reserved