What Do High-Risk Patients Value? Perspectives on a Care Management Program

Abstract

High-risk patients reported helpful interactions with their care team around medical and social determinants of health, particularly those who knew their care manager. Promoting care manager awareness may help participants make better use of the program.

Engaging High-Need Patients in Intensive Outpatient Programs: A Qualitative Synthesis of Engagement Strategies

“…In addition, it is important that evaluations extend beyond utilization and cost outcomes and consider patient experience and clinical outcomes, 34 such as the degree to which the programs address medical and social determinants of health. 35 A limitation of this study is its focus on program staff and leadership perspectives about effective engagement activities. Our findings are consistent, however, with qualitative studies of patients in intensive outpatient programs that suggest that patients value the relationships with staff and their assistance navigating medical and social systems, 36 and also report improved health-related motivation, sense of control, and perceived health.…”

Segmentation of High-Cost Adults in an Integrated Healthcare System Based on Empirical Clustering of Acute and Chronic Conditions

“…1,2 In an environment of increasing value-based payment and risk-sharing, strong incentives encourage the development of complex care models, which often rely on enhancing the relationship between high-needs patients and their ambulatory care providers. [3][4][5] Yet few interventions have demonstrated reliable evidence of success. The reasons are myriad, but the heterogeneity of highcost patients (and their needs) is one important factor.…”

Variability in Care Management Programs in Medicare ACOs: A Survey of Medical Directors

“…Care management programs are a rapidly expanding as part of population health management strategy; few have realized cost savings. 2 More research to understand the role of staffing, duration of service, and caseloads might inform future analyses of program effectiveness 5 measures and lack of uniformity in other outcome measures across programs was discouraging. Improving the range of outcomes beyond utilization to include patient and stakeholder experience is essential to understanding the best processes to achieve those outcomes and the value of these programs.…”