02.14.2020

This Week in Managed Care: February 14, 2020

CareMore Health successfully manages complex patients, HHS stands by its rules on interoperability, and healthcare costs rise faster than wages.

Welcome to This Week in Managed Care, I’m Christina Mattina.

Complex Care Management Saves Money, Decreases Hospital Admissions

Healthcare experts were disappointed with last month’s news that the Camden Coalition’s long-term work with hotspotting failed to trim hospital admissions.

But research in the new issue of The American Journal of Managed Care® suggests that complex care management can work, if programs are designed correctly.

Authors from CareMore Health reported on an initiative in Memphis that saved $7700 per patient a year.

The authors found:
he savings came from a 44% drop in admissions and a 59% drop in bed stays.
Better management of risk factors may have limited acute incidents linked to chronic disease.
Patient engagement may have helped medication adherence.
There was no drop in visits to the emergency department.

For the full article, visit ajmc.com.

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