health systems demonstration projects

ADAPTABLE

Posted October 9, 2019 edwardgemson1Leave a commentPosted in health systems demonstration projects, multi-center trials, observational retrospective analysis, prospective data collection

Robert Kim, MD

Medicaid Health Homes

Posted August 20, 2019October 9, 2019 Morgan RomoLeave a commentPosted in clinical and claims linkages, cross-sectional analysis, health systems demonstration projects, multi-center trials

Approximately one in ten people in the US are diabetic. In NYC, there is an estimated 200,000 adult New Yorkers who have diabetes but have not yet been diagnosed. In order to improve health care and outcomes, reduce costs, and address health disparities related to diabetes, over 60,000 New York City patients enrolled in the […]

High-Need High-Cost Patients

Posted August 20, 2019October 9, 2019 Morgan RomoLeave a commentPosted in clinical and claims linkages, health systems demonstration projects, multi-center trials, observational retrospective analysis, prospective data collection

Health systems, clinicians, and patients have all identified High Need High Cost (HNHC) patients as a priority focus for population health programs. HNHC patients are a small proportion (five percent) of patients that have major health problems and account for a disproportionate share (50 percent) of health care utilization. Using our comprehensive linkage infrastructure we […]