starting a medical home better health at lower cost

By using its employee health plan to learn how to better manage population health, Adventist HealthCare reduced its per-member-per-month costs by 35% and its high-risk patient population by 48%. Healthcare costs for US companies have been steadily increasing by double digits over the past several ye...

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Bibliographic Details
Published in:Healthcare financial management 2011-06, Vol.65 (6), p.71
Main Authors: Lee, James G, Dayal, Gaurov, Fontaine, David
Format: Article
Language:English
Subjects:
Committees
Cost control
Cost reduction
Costs
Dues
Employees
Executives
Expenditures
Growth rate
Health care expenditures
Health care industry
Health care policy
Hypotheses
Patients
Personal health
Pharmacy
Physicians
Primary care
Third party
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Summary:By using its employee health plan to learn how to better manage population health, Adventist HealthCare reduced its per-member-per-month costs by 35% and its high-risk patient population by 48%. Healthcare costs for US companies have been steadily increasing by double digits over the past several years. To bend the cost curve, Congress passed the Affordable Care Act in 2010 to address coverage and payment reform. Rockville, MD-based Adventist HealthCare (AHC) is affected by these issues both as a provider of healthcare services and as an employer. Seeking to improve health, lower costs, and learn more about how to succeed in an accountable care framework, AHC decided to pilot a medical home delivery model. Like many larger companies, AHC assumes the financial risks of providing health care to its employees through a health plan, in this case, Adventist HealthNet. From 2004 to 2008, HealthNet annual expenditures rose at a rate of about 4.2% on average.
ISSN:0735-0732