This resource explores whether individuals’ levels of engagement in their care — referred to as “patient activation” — correlates with their use of services and status as “high need, high cost.” People who are less activated may benefit more than others from care coordination programs.
- The resource explains the advantages of allocating resources based on individuals’ level of engagement, as measured by their activation scores.
- Among persons at high risk of high health costs, the least activated individuals were significantly more likely to have an emergency department visit or hospitalization compared with the most activated.
- Patient activation scores accurately predicted the use of costly services three years later.
- Patient activation scores can help programs more effectively assess risk for high utilization, manage costs, and tailor outreach to individuals.
The Commonwealth Fund also published a short summary of this resource.
- How does a person’s ability to self-manage (level of “activation”) inform predictive value of individuals identified as high risk for high health care spending?
- What is the evidence about the relationship between activation levels and health care utilization?
- Why is assessing activation level important for providers caring for individuals with complex needs?