How To Define A Superutilizer Population

Last weekend I took a look at the population of consumers who are using a disproportionate share of resources – superutilizers (see Are Superutilizers Your New Market?) – and the opportunity that this may represent for specialist organizations. If your organization is heading in this direction and thinking of offering a new service for a payer, the first challenge is defining who exactly among your consumer population are the superutilizers of interest. This is an essential step moving beyond the service line concept, to moving ahead with developing a specific proposal with rates and proposed gainsharing arrangements.

Identifying the best individuals for . . .