Disruptive Models in Primary Care: Caring for High-Needs, High-Cost Populations

"There is a pressing need for new strategies to reinvigorate primary care. HNHC populations are among those most likely to benefit from such reforms. Indeed, without better strategies for managing resource-intensive patients, these time-consuming patients may stymie more general efforts to redesign primary care for the twenty-first century.

For HNHC populations, perhaps more than for any other group, the foundation of high-quality primary care rests on four simple attributes: being available for patients when needed, caring for them in a holistic manner, offering comprehensive services, and serving as the quarterback of their care. The challenge is how to provide primary care clinicians and their teams with the support and resources needed to deliver on these objectives for their most vulnerable patients."