Integrating Psychosocial Risk Factors into Ongoing Care

How to identify patient needs and tailor care planning to optimize outcomes

addressing the needs of rising-risk patients

Health care delivery is incomplete without addressing patients’ psychosocial needs. Left unaddressed, these needs drive avoidable utilization and readmissions, and excess health care spending.

To optimize outcomes and succeed under value-based reimbursement models, leading population health managers identify patients’ psychosocial risks and tailor care plan interventions accordingly.

This research report makes the case for incorporating psychosocial needs into ongoing care, offers a blueprint for staff deployment across different interventions, and provides 18 case studies of providers that have successfully tailored interventions based on psychosocial needs.

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Addressing the Needs of Your Rising-Risk Patients

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