Identifying and Treating the Highest Cost Patients at Partners HealthCare

Partners HealthCare, one of the nation’s leading biomedical research organizations and a principal teaching affiliate of Harvard Medical School, has targeted patients considered to be in the mid-level of the acuity pyramid – as these patients accounted for 57 percent of total healthcare related costs in FY 2015. In the first stage of this study, findings demonstrated that these patients have the highest potential for cost increase and confirmed the efficiency of using prevention as a strategy to avoid hospital admissions. The study is aimed to validate and measure the usefulness of a predictive analytics engine with interventions, provided by the Partners homecare team, in order to prevent avoidable hospital and ER visits for seniors.

• Takeaways:
• Working with patients in the mid-section of the acuity pyramid may provide the highest patient and financial outcomes.
• Better understand the key ways for managing at-risk populations to prevent avoidable admissions.
• How managing the mid-level of the cost population can be complimentary to programs for more acute monitoring.