Are Superutilizers Your New Market?

The OPEN MINDS team has written before about the shift in how payers and health plans are looking at population health. Payers are increasingly focused on how to best reduce health care spending (while improving quality). This has led to focusing intervention dollars on the population who are using a disproportionate share of the resources (see The Marketing Challenge Of The 5% & The 95%) – the superutilizers.

The term “superutilizers” was coined by Jeffrey Brenner, M.D. of the Camden Coalition of Healthcare Providers as a shorthand for the high-cost five percent of the population (see The Hot Spotters . . .