How One Point-of-Care Strategy Cuts Readmissions
It is widely accepted that a well run hospital discharge program can reduce hospital readmissions and save money. Health insurers are usually more than happy to tout how their programs trim hospital readmissions. But when it comes to the nitty gritty of actual cost savings, they tend to be a bit vague.
That is why I found a study from New York-based EmblemHealth so intriguing. The insurer lays out the results of a pilot program not only in terms of reduced readmissions, but also in terms of dollars and cents. The study is published in the American Journal of Managed Care.
With human and capital resources often stretched to their limit in busy physician offices, EmblemHealth looked at how a redeployment of its resources could affect patient care and produce a measurable savings in healthcare expenses, William Gillespie, MD, EmblemHealth’s chief medical officer, told me.
Although there is peer review evidence that care coordination and accountable care can make a difference not only in the quality of care, but also in the downstream costs, those systems are often based on predictive modeling that can be impacted by a claims lag.
- How Top-Ranked MA Plans Earn Their Stars
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Hospitals Can Become 'Upstreamists'
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- WellPoint Dominates Nearly Half of Markets, AMA Says
- 4 Tips for Managing Employed Physicians
- CMS Offers Some ACOs $114M for 'Upfront' Costs
- House Calls Key to Pioneer ACO Success
- Ebola: Second TX Nurse Diagnosed After Improper Protective Gear Application
- How Telehealth Pays Off for Providers, Patients