Every community struggles with a small cohort of patients that are resistant to typical health care solutions, and as a result, utilize an inordinate percentage of health care resources. Due to their unique medical conditions, and often due to difficult social circumstances, including homelessness, chemical dependency, and behavioral health issues, these clients are traditionally resistant to typical care coordination services.
Who is this patient we speak of:
A small, but significant segment resisting traditional care coordination. Many of these patients face intense psychosocial needs.
Typical patient demographics:
- 30% are homeless
- 40% have some form of mental disorder
- 50% have significant substance abuse issues
- They generally have 5 or more annual emergency department visits per patient
- Health care system costs typically $70,000 or higher