The Overlooked Frontier Of Value-Based Care: Managing The Rarest, Sickest, And Most Expensive Patients

The Overlooked Frontier Of Value-Based Care: Managing The Rarest, Sickest, And Most Expensive Patients

For two decades, value-based care has been built upon a simple premise: if we better manage the sickest patients, total costs of care will fall. This idea catalyzed countless disease-management programs, care-coordination models, and technology innovations. And yet, as the field has matured, an inconvenient reality has emerged. Much of value-based care isn’t truly aimed at the sickest patients.

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It suggests that by building specialized, multidisciplinary care models and tailoring payment and care protocols for these “ultra-high-acuity” patients, the U.S. could save hundreds of millions to billions of dollars annually — while delivering far more meaningful impact for those most in need. 



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