As Governors search for ways to contain rising health care costs, medical “hot spotting” has the potential to address the highest utilizers of care in a comprehensive fashion. Medical “hot spotting” utilizes claims data to identify the highest users of hospital and emergency room care and predict potential future usage. Community outreach workers then engage the high utilizers of care in their homes and link them with clinical and social resources to improve chronic condition management in order to reduce hospital visits.
This webinar provided participants with an understanding of:
- The components of “hot spotting” and how it differs from traditional disease management;
- “Hot spotting” in urban and rural settings;
- An overview of state options for financing these initiatives;
- How a state’s payment method impacts sustainability and effectiveness of “hot spotting” initiatives;
- The challenges and opportunities of expanding these initiatives statewide and the key policy levers state leadership can employ to address expansion challenges; and
- How medical “hot spotting” can tie in with larger efforts of health system reform.
- Dan Crippen, executive director, National Governors Association