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High-risk patients: Those patients who have an increased risk for both high resource utilization and poor outcomes Tobacco users are certainly at high risk for both High-risk groups Diabetes Tobacco users Asthma Cardiovascular disease (CVD) Dyslipidemia Depression Total joint replacements Frail elderly HIV/AIDS We can afford to focus on high-risk patients 1 percent of the population accounts for 20 to 30 percent of health care expenses 5 percent of the population accounts for 50 percent of total expenses Insurers are starting to fund and encourage group visits, even if they increase physician revenue Shared medical visits that provide an effective way to manage high-risk cohorts Maximize educational time by working with 15 to 30 patients at a time Many patients prefer group visits Group visits offer a billable service Any medical provider can offer group visits Doctors, nurses, PAs, pharmacists, mental therapists, dieticians, etc