Managing High-Risk, High-Cost Patients: The Southern California Kaiser Permanente Experience in the Medicare ESRD Demonstration Project

Managing High-Risk, High-Cost Patients: The Southern California Kaiser Permanente Experience in the Medicare ESRD Demonstration Project


Peter Crooks, MD

Spring 2005 - Volume 9 Number 2

https://doi.org/10.7812/TPP/04-119

In the recent book, Epidemic of Care,1 Kaiser Permanente (KP) CEO George Halvorson and coauthor George Isham show how the use of health care resources is distributed among a health plan's members. They present an illustration (adapted here as Figure 1) from which can be estimated that in a given year,

  • the least expensive 70% of patients account for 10% of the expenditures; and
  • the most expensive 1% of patients account for 30% of expenditures.

Clearly, two different approaches are needed for managing the care of these two groups of patients.

CME

The Kaiser Permanente National CME Program designates this journal-based CME activity for 4 AMA PRA Category 1 Credits™.

Bookstore

Browse books related to healthcare published by The Permanente Press.

MEDLINE

27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.



                                             

 

etoc emailClick here to join the eTOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of each issue.

 

ISSN 1552-5767 Copyright © 2019 thepermanentejournal.org.

All Rights Reserved.