Uncoordinated Care Harms Patients and Costs $240B Annually

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Uncoordinated Care Adults Overall Represent 10% of Patients Yet Consume Over 35% of Total Costs

Uncoordinated care costs an average of $240 billion a year, according to a recently published study based on analysis of more than nine million Medicaid and Medicare insured lives in five states. Those involved in healthcare administration, policy, reform, fiscal planning and patient care should consider the new insights and use of these advanced analytical methods. Specific measures of care coordination have been developed and validated to identify and target patients with high uncoordinated care scores based on duplicative and inappropriate use of services, multiple treating providers, avoidable hospital and emergency visits, and lack of appropriate medication use and adherence.

The study detailed in The Healthcare Imperative: Lowering Costs and Improving Outcomes†, by the Institute of Medicine, identifies the subset of patients with the greatest savings and quality improvement opportunities as those who are receiving fragmented care and are accessing the system in a very inefficient and uncoordinated manner. Uncoordinated care must be addressed as part of healthcare reform.

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Uncoordinated Care Adults Ages 55-64 Represent Nearly 30% of Patients Yet Consume Over 50% of Total Costs

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Uncoordinated Care Patients Cost Five Times More Overall and Impact Every Type of Service

The Institute for Healthcare Innovation Strategies

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