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

ABSTRACT:

Background

Few studies have categorized high-cost patients (defined by accumulated health care spending above a predetermined percentile) into distinctive groups for which potentially actionable interventions may improve outcomes and reduce costs. We sought to identify homogeneous groups within the persistently high-cost population to develop a taxonomy of subgroups that may be targetable with specific interventions.

Methods

We conducted a retrospective analysis in which we identified adults (≥ 18 yr) who lived in Alberta between April 2014 and March 2019. We defined "persistently high-cost users" as those in the top 1% of health care spending across 4 data sources (the Discharge Abstract Database for inpatient encounters; Practitioner Claims for outpatient primary care and

SUBMITTER: Wick J 

PROVIDER: S-EPMC9022936 | biostudies-literature | 2022 Apr-Jun

REPOSITORIES: biostudies-literature