There is a clinically diverse group of patients who constitute a small proportion of the population yet account for a large amount of medical expenditure. These high-need, high-cost (HN/HC) patients exist globally, yet little is known about how common these types of patients are across countries, and how patterns of utilization and cost differ across health systems.
Founded in 2018, the International Collaborative on Costs, Outcomes and Needs in Care (ICCONIC) consists of 14 partners from North America, Europe and the Pacific who are committed to answering critical questions about this understudied patient population. The international collaborative project is led by Harvard T.H. Chan School of Public Health and embraces 13 partners: Institut de recherche et documentation en économie de la santé (FR), London School of Economics (UK), Norwegian Institute of Public Health (NO), Organisation for Economic Co-operation and Development (OECD), Otago Business School (NZ), The Commonwealth Fund (USA), The Dutch Ministry of Health (NL), The Health Foundation (UK), The Swedish Agency for Health and Care Services Analysis (SE), Unidad de Investigación en Políticas y Servicios de Salud (ES), University of Bern (CH), University of Technology Sydney (AU), University of Toronto (CA). Drawing on regional and national data, the Collaborative is creating foundational research that will provide key policy insights on how to address rising cost while simultaneously improving HN/HC patient outcomes.