This is a report that echos so many others … but the point is a useful reminder – and clearly knowing and addressing are two different things. My general agreement aside I do believe that the notion of “10 percent of the population (commercial) account for 70 percent of the costs” is not adequately actionable. Identifying 70 percent of the costs includes many costs that can not be impacted or are identified late. 20/20 hindsight does not help providers or those seeking to improve care. In addition, behavioral health can be both a precursor and a result of deteriorating physical health. The point that they are linked is a powerful one. Our Nascate models make it possible to segment that “10 percent” to more specifically identify both individuals and families that can most benefit from carefully curated interventions and providers.
Increasingly I think we need to press on timing, interventions and specificity. While useful, and a welcome call to action — we need to take the next step and map the actions and improve the timing. We are all seeking results and partnerships that lead to them.
We believe that if you focus on how people act (behaviors) and who they interact with (relationships) you can be more effective.