HealthUpdatedDecember 29, 2025

High-risk patient management starts with getting the rising-risk patient population under control

To help guard patients with exacerbating medical conditions against further decline, healthcare teams must arm them with innovative tools, resources, and care initiatives that help them engage, educate, and empower themselves on their own terms.

Putting power in the hands of rising-risk patients

Healthcare providers are employing more self-management techniques to help prevent rising-risk patient populations from becoming high-risk. To support high-risk patient management, consider three focus areas to help improve patients’ long-term health outcomes and reduce healthcare costs.

Healthcare D.I.Y. (do involve yourself) for high-risk patient management

To succeed in an environment of value-based reimbursements and increasing uncertainty, health systems must balance ensuring the healthy remain well with preventing patients in the “rising risk” segment from getting sicker. This delicate equilibrium of high-risk patient management can be achieved through innovative, proactive care management strategies that scale care delivery beyond traditional resources.

  • High-risk patients: 5% of the population drives 75% of total costs. This group has chronic health conditions and requires proactive management to prevent complications.
  • Rising-risk patients: 20% of the population has exacerbating health conditions. Preventative screenings and lifestyle changes are key to avoiding deterioration.
  • Low-risk patients: 75% of the population is healthy. Wellness and prevention strategies help promote long-term health.1

Top rising-risk conditions

  • Asthma
  • Hypertension
  • Heart disease
  • COPD
  • Congestive heart failure
  • Diabetes

Prioritizing the rising-risk patient population

In order to keep patients healthy, transform disease trajectories, and prevent rising-risk patients from developing chronic conditions or degrading long-term health outcomes, hospitals and health systems can focus on patient goals that drive behavior changes.

Addressing the rising-risk population is critical because:

  • 18-20% of this group will enter the high-risk category without focused interventions.
  • Staffing challenges arise with the recommended caregiver-to-patient ratios for high-risk populations.

Engage, Educate, Empower

Engage

Engaging patients through information exchange and shared decision-making enables them to:

  • Adequately prepare and manage their health.
  • Become more informed about existing conditions.
  • Select the most appropriate help and support to meet their treatment needs.

These strategies can help healthcare organizations cut costs and improve quality outcomes.

Educate

Improving healthcare outcomes starts at the source: with the provider. Health systems must integrate new methods of clinician-to-patient interaction that are empathic and responsive to individual needs. The unique combination of content and technology allows clinicians to provide patients with the information and tools they need to manage their own health. Through interactive multimedia programs that include art, animation, and plain, conversational language, the conversation between patient and provider can be extended, and patients are then better equipped to manage their condition.

Empower

Healthcare providers must scout ways to engage and empower patients well-beyond the clinical care setting. Today, this can be achieved through interactive information tools, voice technologies, and unique care initiatives that encourage patients to self-manage their conditions, while fostering an open dialogue between patient and provider.

Reach and empower your patient population with UpToDate Engage

The UpToDate Engage® platform is a scalable, cost-effective solution designed to optimize provider time and empower patients to take an active role in their care as part of high-risk patient management.

Learn more about UpToDate Engage
  1. University of Michigan Health Management Research Center.
Back To Top