Impact of Primary Care Intensive Management on High-Risk Veterans' Costs and Utilization
Authors: Katherine Rediger, D.R. Bailey Miles
Journal: Annals of Internal Medicine (2018)

Letters2 October 2018Impact of Primary Care Intensive Management on High-Risk Veterans' Costs and UtilizationKatherine Rediger, MSN, CRNP and D.R. Bailey Miles, MDKatherine Rediger, MSN, CRNPJohns Hopkins Community Physicians and Johns Hopkins University School of Nursing, Baltimore, Maryland (K.R.)Search for more papers by this author and D.R. Bailey Miles, MDJohns Hopkins Community Physicians and Johns Hopkins University School of Medicine, Baltimore, Maryland (D.B.M.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0459 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Because we work in an intensive primary care program that cares for high-needs, high-cost Medicaid patients, we appreciate Yoon and colleagues' (1) contribution to the field of complex care. Although we identify with many aspects of the care programs detailed by Yoon and colleagues, we acknowledge that the field is young and, as such, encompasses many disparate models of care (1, 2). We disagree with the authors' definition of intensive care management as an intervention that involved 3 or more encounters in person or by telephone over the 12-month intervention (1). We believe that the opportunity in ...References1. Yoon J, Chang E, Rubenstein LV, Park A, Zulman DM, Stockdale S, et al. Impact of primary care intensive management on high-risk veterans' costs and utilization: a randomized quality improvement trial. Ann Intern Med. 2018;168:846-54. [PMID: 29868706]. doi:10.7326/M17-3039 LinkGoogle Scholar2. Blumenthal D, Chernof B, Fulmer T, Lumpkin J, Selberg J. Caring for high-need, high-cost patients—an urgent priority. N Engl J Med. 2016;375:909-11. [PMID: 27602661] doi:10.1056/NEJMp1608511 CrossrefMedlineGoogle Scholar3. Alley DE, Asomugha CN, Conway PH, Sanghavi DM. Accountable health communities—addressing social needs through Medicare and Medicaid. N Engl J Med. 2016;374:8-11. [PMID: 26731305] doi:10.1056/NEJMp1512532 CrossrefMedlineGoogle Scholar4. Van der Kolk B. The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. New York: Viking; 2014. Google Scholar5. Sander LD, Albert M, Okeke N, Kravet S, Rediger K, Conway SJ, et al. Building a Medicaid ambulatory complex care program within an urban medical home. Popul Health Manag. 2018. [PMID: 29620961] doi:10.1089/pop.2017.0200 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Johns Hopkins Community Physicians and Johns Hopkins University School of Nursing, Baltimore, Maryland (K.R.)Johns Hopkins Community Physicians and Johns Hopkins University School of Medicine, Baltimore, Maryland (D.B.M.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0459. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoImpact of Primary Care Intensive Management on High-Risk Veterans' Costs and Utilization Jean Yoon , Evelyn Chang , Lisa V. Rubenstein , Angel Park , Donna M. Zulman , Susan Stockdale , Michael K. Ong , David Atkins , Gordon Schectman , and Steven M. Asch Impact of Primary Care Intensive Management on High-Risk Veterans' Costs and Utilization John H. Wasson Impact of Primary Care Intensive Management on High-Risk Veterans' Costs and Utilization Jean Yoon , Evelyn Chang , Lisa V. Rubenstein , Donna M. Zulman , and Steven M. Asch Impact of Primary Care Intensive Management on High-Risk Veterans' Costs and Utilization Eran Bellin Metrics 2 October 2018Volume 169, Issue 7Page: 514-515KeywordsEmotionsHospitalizationsInpatientsMedical conditionsMedicareOutpatientsPopulation statisticsPosttraumatic stress disorderPrevention, policy, and public healthPsychiatry and mental health ePublished: 2 October 2018 Issue Published: 2 October 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...