In addition, the home visits for high-risk patients will provide an opportunity to identify other risk factors, such as home safety, that could affect a member's ability to adhere to a medication regimen.
After the initial consultation, both high-risk and moderate-risk members will receive ongoing support for 30 days. In addition to regular contact by a pharmacist, nurses will also mentor the members on the importance of filling prescriptions and taking their medications as prescribed. After the 30 days, the member will be discharged from the pilot and moved into a case management program for continued follow-up and care.
Member participation will be voluntary. Aetna has not set a goal for how many members it hopes to enroll in the pilot but according to a company spokesperson expects to "enroll a sufficient sample size to provide meaningful data on program success."
Readmission rates and member satisfaction of program participants will be measured at the end of the pilot.