An International Perspective on High-Need, High-Cost Patients

By the Playbook staff

Marit Tanke, MD, PhD, a Commonwealth Fund Harkness Fellow, led a research project to analyze high-need, high-cost patients across four countries — the United States, the Netherlands, Canada, and Germany.

What did she learn? The US is not the only country with a high proportion of health care spending concentrated in a small number of patients.

In this video lecture, she walks us through her research — her methodology, how costly these patients are, who these patients are, and how they use health care. Browse the clips below, or scroll down to watch her 14-minute presentation in its entirety.


Introduction and Methodology (Part 1 of 5)


How Costly Are These Patients? (Part 2 of 5)


Who are these patients? What are their demographic and clinical characteristics? (Part 3 of 5)


How do these patients use health care? (Part 4 of 5)


What do we learn from a cross-country comparison? (Part 5 of 5)


Full Presentation