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Frequent Users of Health Services

Frequent Users of Health Services

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Most communities experience a small number of individuals who repeatedly and excessively utilize hospital emergency department (ED) and inpatient services as their primary source of medical care. Their problems tend to be complex, often including chronic illness, substance abuse, mental illness and homelessness. While small in number, these “frequent users” generate an inordinately large share of medical care costs and utilize scarce hospital resources for conditions that could have been prevented or more appropriately treated in other community settings. Frequent users contribute to emergency department overcrowding and to higher health care
costs for everyone.
Most communities experience a small number of individuals who repeatedly and excessively utilize hospital emergency department (ED) and inpatient services as their primary source of medical care. Their problems tend to be complex, often including chronic illness, substance abuse, mental illness and homelessness. While small in number, these “frequent users” generate an inordinately large share of medical care costs and utilize scarce hospital resources for conditions that could have been prevented or more appropriately treated in other community settings. Frequent users contribute to emergency department overcrowding and to higher health care
costs for everyone.

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Published by: National Pharmaceutical Council on Dec 01, 2008
Copyright:Attribution Non-commercial

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05/16/2014

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A P
RICELESS
 O
PPORTUNITY
 
FOR
 C
HANGE
By
Elinor Hall
, MPH
Health Policy and Management Consulting
Frequent Users of Health Services:
 AUGUST 2008
 
Frequent Users of Health Services: A Priceless Opportunity for Change 3
Initiative 
 .......8 Seattle Programs: Begin at Home and 1181 Eastlake ..10IV. Lessons Learned from Effective Programs ..........................12V. State and Federal Opportunities .................................14VI. Medicaid Funded Services for Frequent Users ......................16 Maine ......................................16 New York ...................................17 Washington ..................................18VII. Increasing Access to Coverage for Frequent Users ...................20VIII. Conclusion .................................................22 Endnotes ..................................................23
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