Care Coordination for High-Need, High-Cost Commercially Insured Patients: A Randomized Clinical Trial.

ABSTRACT:

Importance

High-need, high-cost (HNHC) patients account for 5% of the US population yet represent nearly half of health care spending.

Objective

To evaluate whether national care coordination could reduce health care cost and utilization in a commercially insured HNHC population.

Design, setting, and participants

This national, 2-arm randomized clinical trial with intention-to-treat and instrumental variable analyses included patients aged 18 years or older who were defined as HNHC according to a proprietary model (in the top 5% of spend within a rolling 12-month claims utilization window and projected to remain in the top 5% over the subsequent 12 months). Patients were randomized from January 2018 to October 2019. Data were analyzed from January 1 to December 31, 20

SUBMITTER: Duru OK 

PROVIDER: S-EPMC12188368 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature