«
»

Share of Cost, CA Program For Homebound Patients Reduces Monthly Spending, Delivers Meaningful Care

Friday, Apr. 15th 2016 6:00 AM

In 2009 HealthCare Partners Affiliates Medical Group, based in Southern California, launched House Calls, an in-home program that provides, coordinates, and manages care primarily for recently discharged high-risk, frail, and psychosocially compromised patients. Its purpose is to reduce preventable emergency department visits and hospital readmissions. We present data over time from this well-established program to provide an example for other new programs that are being established across the United States to serve this population with complex needs. The findings show that the initial House Calls structure, staffing patterns, and processes differed across the geographic areas that it served, and that they also evolved over time in different ways. In the same time period, all areas experienced a reduction in operating costs per patient and showed substantial reductions in monthly per patient health care spending and hospital utilization after enrollment in the House Calls program, compared to the period before enrollment. Despite more than five years of experience, the program structure continues to evolve and adjust staffing and other features to accommodate the dynamic nature of this complex patient population.

Related posts:

  1. Low-Cost Transitional Care Phone Contact With Patients Cut Rehospitalization At A VA Hospital Low-Cost Transitional Care Phone Contact With Patients Cut Rehospitalization At A VA Hospital...
  2. Share of Cost, Large Increases In Spending On Postacute Care In Medicare Point To The Potential For Cost Savings In These Settings Share of Cost, Large Increases In Spending On Postacute Care In Medicare Point To The Potential For Cost Savings In These Settings ...
  3. Share of Cost, Treated Disease Prevalence and Spending per Treated Case Drove Most of The Growth In Health Care Spending In 1987-2009 Share of Cost, Treated Disease Prevalence and Spending per Treated Case Drove Most of The Growth In Health Care Spending In 1987-2009 ...
  4. Share of Cost, Medicare’s New Hospital Value Based Purchasing Program is Likely to Have Only a Small Impact on Hospital Payments Share of Cost, Medicare's New Hospital Value Based Purchasing Program is Likely to Have Only a Small Impact on Hospital Payments ...
  5. Share of Cost, Innovations At Miami Practice Show Promise For Treating High-Risk Medicare Patients Share of Cost, Innovations At Miami Practice Show Promise For Treating High-Risk Medicare Patients ...
  6. Share of Cost, The Slowdown In Health Care Spending In 2009-11 Reflected Factors Other Than The Weak Economy And May Continue To Persist Share of Cost, The Slowdown In Health Care Spending In 2009-11 Reflected Factors Other Than The Weak Economy And May Continue To Persist ...
  7. A Collaborative of Leading Health Systems Finds Wide Variations in Total Knee Replacement Delivery and Takes Steps to Improve Value Members of a consortium of leading US health care systems, known as the High Value Healthcare Collaborative, used administrative data to examine differences in their delivery of primary total knee replacement. The goal was to identify opportunities to improve health care value by increasing the quality and reducing the cost of that procedure. The study […]...
  8. Medicare And Medicaid Spending Variations are Strongly Linked Within Hospital Regions But Not at Overall State Level Medicare And Medicaid Spending Variations are Strongly Linked Within Hospital Regions But Not at Overall State Level...
  9. Medicare Postacute Care Payment Reforms Have Potential to Improve Efficiency of Care, But May Need Changes to Cut Costs The Affordable Care Act mandates changes in payment policies for Medicare postacute care services intended to contain spending in the long run and help ensure the program’s financial sustainability. In addition to reducing annual payment increases to providers under the existing prospective payment systems, the act calls for demonstration projects of bundled payment, accountable care […]...
  10. Share of Cost, Future Demand For Long-Term Care Workers Will Be Influenced By Demographic And Utilization Changes Share of Cost, Future Demand For Long-Term Care Workers Will Be Influenced By Demographic And Utilization Changes...
  11. Share of Cost, If Slow Rate Of Health Care Spending Growth Persists, Projections May Be Off By $770 Billion Share of Cost, If Slow Rate Of Health Care Spending Growth Persists, Projections May Be Off By $770 Billion ...
  12. Share of Cost, Setting Quality-of-Care Standards For Home-Based Primary And Palliative Care Share of Cost, Setting Quality-Of-Care Standards For Home-Based Primary And Palliative Care...
  13. Share of Cost, New Resource Helps Californians Find Quality Health Care Share of Cost, New Resource Helps Californians Find Quality Health Care...
  14. Share of Cost, Chronic Care Model Strategies In The United States And Germany Deliver Patient-Centered, High-Quality Diabetes Care Share of Cost, Chronic Care Model Strategies In The United States And Germany Deliver Patient-Centered, High-Quality Diabetes Care...
  15. Share of Cost, Transitional Care Interventions Prevent Hospital Readmissions For Adults With Chronic Illnesses Share of Cost, Transitional Care Interventions Prevent Hospital Re-admissions For Adults With Chronic Illnesses ...
Posted on Friday, Apr. 15th 2016 6:00 AM | by Share of Cost | in Share of Cost | Comments Off on Share of Cost, CA Program For Homebound Patients Reduces Monthly Spending, Delivers Meaningful Care