Table 2 Utilization and preventable utilization by cluster for high-cost high-need Medicaid patients eligible for national complex case management program
Relatively Healthy | Pregnancy Complications | Behavioral Health | Cardio-metabolic | Complex Illness Lower Resource Use | Complex Illness Higher Resource Use | Total | |
|---|---|---|---|---|---|---|---|
Hospital Admissions Mean (SD) | 0.3 (2.3) | 0.8 (0.6) | 0.4 (1.2) | 0.4 (1.7) | 0.5 (1.5) | 2.0 (3.3) | 0.7 (2.0) |
Hospital Days Mean (SD) | 4.3 (35.4) | 2.5 (4.2) | 2.1 (58.1) | 2.8 (22.7) | 3.2 (21.2) | 16.0 (39.0) | 4.9 (35.1) |
ED visits Mean (SD) | 2.9 (6.1) | 4.7 (6.2) | 7.9 (12.6) | 4.8 (8.5) | 4.9 (8.4) | 14.6 (26.7) | 7.5 (15.8) |
Preventable Hospitalizations Mean (SD) | 0.01 (0.08) | 0.02 (0.13) | 0.04 (0.20) | 0.06 (0.24) | 0.10 (0.30) | 0.33 (0.47) | 0.09 (0.28) |
Preventable ED visits Mean (SD) | 1.1 (1.7) | 1.9 (2.3) | 2.9 (4.0) | 1.9 (2.7) | 2.4 (3.1) | 6.3 (10.0) | 3.1 (5.7) |