Newsletter Articles | August 14, 2017
The Focus On Superutilizers & How It Is Changing Medicaid
Why the big focus on 'superutilizers' of health care services? How is this focus changing Medicaid? The answer to these two questions are the keys to strategy development for executives of organizations serving consumers with complex needs.
The first question has a relatively short answer. We didn't hear a lot about superutilizers until recently because health plans weren't particularly concerned with managing their care. There are a couple of factors that have changed. The first is the opioid crisis—51% of superutilizers have a behavioral health condition, a situation that has been exacerbated by high rates of opioid . . .