High-need, high-cost patients make up 5% of the U.S. population, but account for roughly 50% of the country’s annual healthcare spending. The Health Care Transformation Task Force (HCTTF) and the Pacific Business Group on Health (PBGH) have created resources to help provider and payer organizations effectively contract for high-need, high-cost programs. They include: a whitepaper and a practical set of guidelines.
The white paper can be obtained at https://hcttf.org/wp-content/uploads/2018/07/Care-Management-Contracting-Report_FINAL.pdf and the guidelines at https://hcttf.org/wp-content/uploads/2018/07/Care-Management-Contracting-Guidance-Document_vF.pdf.