Segmenting High-Need, High-Cost Patients: A Video Presentation by Dr. Jose Figueroa


By the Playbook staff

How can health systems improve care for patients with complex needs? They can start by asking, “Who?” Jose Figueroa, MD, MPH, a hospitalist at Brigham and Women’s Hospital and a health services researcher at Harvard School of Public Health and Harvard Medical School, has been researching this question: Who are patients with complex needs?

Dr. Figueroa was part of a team convened by the National Academies of Medicine (NAM) that created a model for identifying population segments within the broad category of high-need, high-cost patients.

Unsurprisingly, they found that high-need, high-cost patients are not a monolithic group. In the following video presentation, Dr. Figueroa explains more. Watch each segment in order for the full presentation, or skip to the bottom to watch the full 16-minute video uninterrupted. You can also browse the segments to find the piece that interests you most. Click here to read the full report from the NAM. 

Part 1: Why is it so difficult to improve outcomes and lower costs for patients with complex needs?


Part 2: Patients with complex needs are not a monolithic group.


Part 3: One segmentation model identifies six distinct patient cohorts.


Part 4: How likely is a patient in each cohort to be high-cost?


Part 5: What types of health expenses do different patient cohorts incur?


Part 6: How would you segment patients by modifiable costs?


Part 7: What do we learn from this segmentation model?


Full Presentation