000			02142nam a2200253Ia 4500
008			230313s2020 xx 000 0 und d
040			_cMANILA TYTANA COLLEGES LIBRARY
100			_aPearl, Robert. _9780
245		0	_aManaging the most expensive patients : _ba new primary-care model can lower costs and improve outcomes / _cRobert Pearl, Philip Madvig
260			_cJanuary-February 2020
336			_atext
337			_aunmediated
338			_avolume
440			_n98 : 1,, pages 68-75 _aHarvard Business Review _9781
520			_aDiscussions about reining in health care costs invariably turn to the sickest 5% of the population, who account for 50% of all health care spending. Many of these patients have multiple chronic conditions, and the hope is that through disease-management programs that use registered nurses and social workers to monitor and help them, we can care for them better and achieve big savings. But these programs are expensive. Typically each focuses on just one disease, which means that many patients deal with multiple teams. The programs also operate outside primary-care practices, so they often duplicate doctors’ work as well. And in the experience of the authors, the former CEO and associate executive director of Kaiser Permanente (KP), they do not reduce net costs. KP has come up with a better approach: providing coaching and support to patients through IT and inexpensive assistants who are integrated into primary-care practices—avoiding duplication. KP applies it judiciously, focusing only on patients whose chronic conditions can truly be improved (about a third of the most expensive 5%). This strategy has not only led to better medical outcomes but cut costs so much that KP has been able to offer millions of members premiums that are 10% to 15% lower than competitors’.
521			_aBusiness.
650			_aAccess to health care. _9782
650			_aHealth care reform. _9783
650			_aHealth services administration. _9784
650			_aMedical care -- Costs. _9785
650			_aMedical care -- Quality control. _9786
650			_aMedical policy. _9787
942			_cA
999			_c83539 _d83539