An Initial Assessment of Initiatives to Improve Care for High-Need, High-Cost Individuals in Accountable Care Organizations

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Publication
Apr 11, 2019
Janet Niles, Teresa Litton, and Robert Mechanic for Health Affairs
High-need, high-cost (HNHC) individuals are defined as people of all ages living with clinically complex needs and functional limitations who also incur high health care costs or are likely to do so in the near future. Despite frequent contact with the health care system and substantial medical spending, the physical, social, and behavioral health needs of these individuals often remain unmet due to uncoordinated and fragmented care. Studies suggest that HNHC individuals could benefit from a more holistic approach that coordinates the care they receive and addresses their unmet social needs. Doing so could improve quality of care and quality of life while reducing health care service use