The Hot Spotters by Atul Gawande. Posted on May 24, by Jesus Click here to read the rest of the New Yorker article. This entry was posted in News. New Yorker. Jan The hot spotters: can we lower medical costs by giving the neediest patients better care? Gawande A. PMID: ; [Indexed . In the January 24, , New Yorker, physician-author Atul Gawande, M.D., featured Brenner in an article titled, “The Hot Spotters.”.

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This second article in the series explains why targeted programs for high needs, high cost patient populations may not be achieving their intended goals.

The New YorkerFeb 12, Sptters Jeffrey Brenner, MD, took notice more than a decade ago of the spotty care afforded certain high-risk, high-need patients in Camden, N. Very few of these programs have reached the level [of success] I would consider convincing,” he said. The New YorkerJun 26, A pile of meaningless terms and poorly tested ideas.

You can listen to the interview not The New York TimesMay 12, The New YorkerJan 23, In the Hot Spotter article Gawande writes about several innovative approaches to reducing health-care costs. One of the doctors that works for Verisk, Nathan Gunn, who explains the way data mining can be used to identify the most frequent users of health-care facilities and reduce their costs.


Brenner’s program, the Camden Coalitionis widely considered the prototype for the country’s growing number of programs for high-need and high-cost populations. These kinds of cost savings are revolutionary.

The hot spotters: can we lower medical costs by giving the neediest patients better care?

Even when a randomized trial is not feasible, however, the rigor of a complex care management program evaluation can be enhanced by the inclusion of a matched contemporaneous control population. The New YorkerJul 26, After some discussion, the police let him enter the crime scene and attend to the victim.

Gawande, please email atul atulgawande. After an initial intake visit, the team contacts enrolled patients at a minimum of twice monthly. The New YorkerSep 21, The New YorkerJun 23, SlateJul 22, Unlike other less successful programs in that demonstration, the care coordinators had regular in-person interaction with their assigned patients and were closely connected with their patients’ primary care providers.

Calibrating the ‘Hot-Spotting’ Hype | Medpage Today

To rigorously assess their model, the Camden Coalition is now participating in a randomized trial of their program. The New YorkerSep spottera, SlateSpotterd 19, SlateOct 7, At nine-fifty on a February night ina twenty-two-year-old black man was shot while driving his Ford Taurus station wagon through a neighborhood on the edge of the Rutgers University campus. The most recent was about hospice care. For example, a program could be piloted in one clinic and compared with a nearby similar control clinic.


The Hot Spotters | News | SHNNY

The New YorkerJan 17, Many of the other rigorous studies of “hot-spotter” approaches have come to similar disappointing conclusions. SlateHto 23, With this in mind, the dramatic results reported about programs like the Camden Coalition seem much less impressive. SlateJul 11, By latehis team had provided care for more than three hundred of these most costly people.

SlateAug 28, Can we lower medical costs by giving the neediest patients better care? Without rigorous research to determine the exact impact of such programs, practitioners and patients alike cannot assume that complex care management is the primary sptoters for any spootters of such high-use patients, says Steven Asch, MD, professor of medicine at Stanford University and an expert in the field.

Click here to read the rest of the New Yorker article. The New YorkerMar 6,