Exhibit 1 Adults with High Needs Have Higher Health Care Spending and Out-of-Pocket Costs Average annual out-of-pocket spending Average annual health.

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QUALITY: COORDINATED CARE

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Exhibit 1 Adults with High Needs Have Higher Health Care Spending and Out-of-Pocket Costs Average annual out-of-pocket spending Average annual health care expenditures Total adult population 231.7 million Three or more chronic diseases, no functional limitations 79.0 million Three or more chronic diseases, with functional limitations (high need) 11.8 million Note: Noninstitutionalized civilian population age 18 and older. Data: 2009–2011 Medical Expenditure Panel Survey (MEPS). Analysis by C. A. Salzberg, Johns Hopkins University. Source: S. L. Hayes, C. A. Salzberg, D. McCarthy, D. C. Radley, M. K. Abrams, T. Shah, and G. F. Anderson, High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care? The Commonwealth Fund, August 2016.

Exhibit 2 Health Care Spending Was Higher at Every Level for Adults with High Needs Than for Adults with Multiple Chronic Diseases Only Total adult population Three or more chronic diseases, no functional limitations Three or more chronic diseases, with functional limitations (high need) Note: Noninstitutionalized civilian population age 18 and older. Data: 2009–2011 Medical Expenditure Panel Survey (MEPS). Analysis by C. A. Salzberg, Johns Hopkins University. Source: S. L. Hayes, C. A. Salzberg, D. McCarthy, D. C. Radley, M. K. Abrams, T. Shah, and G. F. Anderson, High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care? The Commonwealth Fund, August 2016.

Adults with High Needs Have Unique Demographic Characteristics Exhibit 3 Adults with High Needs Have Unique Demographic Characteristics Total adult population Three or more chronic diseases, no functional limitations Three or more chronic diseases, with functional limitations (high need) Notes: Noninstitutionalized civilian population age 18 and older. Public insurance includes Medicare, Medicaid, or combination of both programs (dual eligible). Data: 2009–2011 Medical Expenditure Panel Survey (MEPS). Analysis by C. A. Salzberg, Johns Hopkins University. Source: S. L. Hayes, C. A. Salzberg, D. McCarthy, D. C. Radley, M. K. Abrams, T. Shah, and G. F. Anderson, High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care? The Commonwealth Fund, August 2016.

Exhibit 4 High-Need Adults Have More Emergency Department Visits and Hospital Stays Total adult population Three or more chronic diseases, no functional limitations Three or more chronic diseases, with functional limitations (high need) Rate per 1,000 Rate per 1,000 Note: Noninstitutionalized civilian population age 18 and older. Data: 2009–2011 Medical Expenditure Panel Survey (MEPS). Analysis by C. A. Salzberg, Johns Hopkins University. Source: S. L. Hayes, C. A. Salzberg, D. McCarthy, D. C. Radley, M. K. Abrams, T. Shah, and G. F. Anderson, High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care? The Commonwealth Fund, August 2016.

Exhibit 5 High-Need Adults Have More Doctor Visits and Paid Home Health Care Days Average number of medical office visits per year Average number of paid home health care days per year Total adult population Three or more chronic diseases, no functional limitations Three or more chronic diseases, with functional limitations (high need) Total adult population Three or more chronic diseases, no functional limitations Three or more chronic diseases, with functional limitations (high need) Note: Noninstitutionalized civilian population age 18 and older. Data: 2009–2011 Medical Expenditure Panel Survey (MEPS). Analysis by C. A. Salzberg, Johns Hopkins University. Source: S. L. Hayes, C. A. Salzberg, D. McCarthy, D. C. Radley, M. K. Abrams, T. Shah, and G. F. Anderson, High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care? The Commonwealth Fund, August 2016.

Exhibit 6 Adults with High Needs Are More Likely to Incur and Maintain High Health Care Spending Total adult population Three or more chronic diseases, no functional limitations Three or more chronic diseases, with functional limitations (high need) Notes: Noninstitutionalized civilian population age 18 and older. Percentages are based on total individuals in each cohort for whom there were 2 years of data. Data: 2009–2011 Medical Expenditure Panel Survey (MEPS). Analysis by C. A. Salzberg, Johns Hopkins University. Source: S. L. Hayes, C. A. Salzberg, D. McCarthy, D. C. Radley, M. K. Abrams, T. Shah, and G. F. Anderson, High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care? The Commonwealth Fund, August 2016.

Exhibit 7 Of Adults with High Costs, Most Have Multiple Chronic Diseases, With or Without Functional Limitations Percent with high needs: Three or more chronic diseases, with functional limitations Percent with multiple chronic diseases only: Three or more chronic diseases, no functional limitations Percent who were comparatively healthy (less than three chronic diseases, no functional limitations) 6.0 million adults in top 10% of spending two years in a row 2.4 million adults in top 5% of spending two years in a row Notes: Noninstitutionalized civilian population age 18 and older. Data: 2009–2011 Medical Expenditure Panel Survey (MEPS). Analysis by C. A. Salzberg, Johns Hopkins University. Source: S. L. Hayes, C. A. Salzberg, D. McCarthy, D. C. Radley, M. K. Abrams, T. Shah, and G. F. Anderson, High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care? The Commonwealth Fund, August 2016.