A Case Report: Cornerstone Health Care Reduced the Total Cost of Care Through Population Segmentation and Care Model Redesign
| Autor: | Grace E. Terrell, Jasmine O'Connell, Bruce H. Hamory, Dale E. Green |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Leadership and Management Total cost Population Primary care Population health 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Ambulatory care Health care Outcome Assessment Health Care medicine North Carolina Humans 030212 general & internal medicine education Intensive care medicine health care economics and organizations education.field_of_study Population Health business.industry Health Policy Public Health Environmental and Occupational Health Cornerstone Health Care Costs medicine.disease Cost savings Models Economic Chronic Disease Medical emergency Comprehensive Health Care business |
| Zdroj: | Population health management. 20(4) |
| ISSN: | 1942-7905 |
| Popis: | Over the course of a single year, Cornerstone Health Care, a multispecialty group practice in North Carolina, redesigned the underlying care models for 5 of its highest-risk populations-late-stage congestive heart failure, oncology, Medicare-Medicaid dual eligibles, those with 5 or more chronic conditions, and the most complex patients with multiple late-stage chronic conditions. At the 1-year mark, the results of the program were analyzed. Overall costs for the patients studied were reduced by 12.7% compared to the year before enrollment. All fully implemented programs delivered between 10% and 16% cost savings. The key area for savings factor was hospitalization, which was reduced by 30% across all programs. The greatest area of cost increase was "other," a category that consisted in large part of hospice services. Full implementation was key; 2 primary care sites that reverted to more traditional models failed to show the same pattern of savings. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|