Children with high health care utilization and special health care needs, Draft Manuscript
Although children generally have lower health care expenditures and utilization than adults, as is also true for adults, a small percentage of children account for a large share of pediatric health care costs (Simpson et al., 2005). Furthermore, high expenditures can be indicators of childhood illnesses that may result in chronic health conditions and could sum to a lifetime of high health care utilization. As a result, there has been growing interest in identifying children at risk for high future expenditures who might benefit from medical management to improve health outcomes and reduce health care utilization and costs. However, identifying individuals that can benefit most from medical management is challenging, particularly in a pediatric population where the vast majority are in good health and use relatively few services.