September 8, 2009
Vol. II, No. 9
Study First to Show Medical Home Produces |
Better Care at No Added Cost
A new study published in the September 2009 American Journal of Managed Care provides some of the nation's first empirical evidence of the benefits of the patient-centered medical home (PCMH) model, including significantly fewer ER visits and hospitalizations and an enhanced patient experience. The study compared a random sample of the 9,200 patients at Group Health Cooperative's medical home to a control group. At one year, patients at the Group Health medical home reported:
Group Health's retooled approach reduced the number of patients per PCP from 2,300 to 1,800 and invested $16 more per patient over the year in extra staffing: 72 percent more clinical pharmacists, 44 percent more physician assistants, 18 percent more medical assistants, 17 percent more RNs and 15 percent more PCPs. On average, patients at the medical home used $37 more specialty care, perhaps because the enhanced primary care detected previously hidden health problems.
However, Group Health recouped this investment within the year due to ER savings of $54 per patient during the year, according to evaluation leader Robert J. Reid, M.D., Ph.D., an associate investigator at Group Health Center for Health Studies and Group Health's associate medical director for preventive care.
For more information on the study, please visit:
A new analysis comparing a group of Medicare Advantage plans to traditional fee-for-service (FFS) Medicare quantifies how coordinating and integrating care can lower the rate of avoidable hospital readmissions (a hospital admission within 30 days following a patient's hospital discharge), as well as preventable hospital admissions and ER visits.
Dr. Gerard Anderson, professor at Johns Hopkins University, compared the rates of hospital readmissions and preventable hospitalizations in FFS Medicare to those in Medicare Advantage plans offered by the Alliance of Community Health Plans (ACHP) members — regional and community-based health plans across the country that emphasize coordination of care, integrated systems and close plan/provider relationships.
The study found that:
For a copy of the report, please visit:
The appropriate use of health IT to optimize patient care is wired into the widely endorsed PCMH joint principles. And as rising healthcare costs fuel much of the healthcare reform debate, healthcare organizations are turning to telehealth to lower costs and improve efficiencies while expanding patients' access to services. Complete HIN's Survey of the Month on Telehealth in 2009 by September 30 and receive a free executive summary of the compiled results. Your responses will be kept strictly confidential.
Complete the survey by visiting:
Healthcare Trends in Mid-2009: A Six-Month Adjustment
Some healthcare organizations have seized the economic downturn as an opportunity to test new programs and services. In a new white paper from HIN, learn some of the surprising programs emerging in a leaner business environment, why the first half of 2009 was better than the previous six months for almost half of responding organizations, the top three issues impacting the industry mid-year and much more.
To download this complimentary white paper, please visit:
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