by Patricia Smith
The Administration on Aging estimates the number of Americans over age 85 will grow from 5.7 million in 2010 to 19 million in 2050. ACHP’s newest report, “Taking Better Care: Supporting Well-Being for an Aging Population,” shares the work of five member plans to improve care for the frail elderly population. Among case examples:
- Geisinger Health Plan reduced emergency department and inpatient admissions – achieving a 20 percent PMPM cost reduction – by using a nurse case manager and community health assistant to address social determinants of health and foster independent functioning.
- Priority Health Priority Health helped its members in the program achieve, on average, a 50 percent decrease in emergency department visits, 24 percent decrease in inpatient stays and 40 percent decrease in specialty visits.”. The plan partners with a community organization of nursing homes and an ambulance service to offer an at-home care model that combines medical, behavioral and social health programs.
- Fallon Health created a specialized product for frail seniors that 100 percent of members would recommend to their friends and family, using one of the only plan-owned PACE centers in the country. NaviCare showed a PMPM cost savings of $128.
ACHP and the Coalition to Transform Advance Care (C-TAC) recently co-hosted a briefing on Capitol Hill to discuss innovations and key policy considerations for the improved care of the frail elderly.
The briefing welcomed 50 attendees, who listened to presentations from a panel of ACHP and C-TAC representatives. Joining me were:
|· Sarika Aggarwal, M.D., Executive Vice President and Chief Medical Officer, Fallon Health
· David Longnecker, M.D. Chief Clinical Innovations Officer, Coalition to Transform Advanced Care (C-TAC)
· Bill Novelli, Co-Chair, Coalition to Transform Advanced Care (C-TAC)
· Jay LaBine, M.D., Chief Medical Officer, Priority Health
· Janet Tomcavage, Senior Vice President and Chief, Value-Based Care Initiatives, Geisinger Health Plan
· Mary Beth Morrissey, representing the American Heart Association
Extending the reach of these innovations to a broader audience outside of Washington, D.C., ACHP also hosted a widely attended webinar in which Drs. Aggarwal and LaBine and Ms. Tomcavage, a nurse, described and discussed their initiatives with an attentive audience.
Politico Pro and FierceHealthPayer both carried news of the report’s release.
Patricia Smith is President and CEO of the Alliance for Community Health Plans.