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Public Health Reports: Care Is Failing the Most Vulnerable Patients: Three Underused Solutions

In a recent article in Public Health Reports, Stanford University researchers aimed to redesign health care delivery for the high-need high-cost (HNHC) population — medically and functionally impaired adults who incur high health care expenses. To understand the unmet needs of the HNHC population, researchers conducted a literature review and direct field observation, and engaged in systematic discussions with stakeholders and subject matter experts. Insights gained from the process informed the development of a novel health care delivery model, which included three components: shifting acute care from hospitals to lower-cost settings, economically integrating behavioral health into primary care, and addressing housing and access to transportation for medical care — two key social determinants of health.

Full article.