Over the next 25 years, the population of Americans aged 65 and older will double to about 72 million, with roughly 10,000 Americans turning 65 every day from 2011-2031. Members of the Alliance of Community Health Plans are caring for this growing population, realizing that their needs extend far beyond clinical care. ACHP member plans are working to keep frailer seniors out of the hospital and where they feel most comfortable — at home, in an assisted-care environment, or in some sort of combination — so their final years may be independent, dignified and personally fulfilling.
Taking Better Care: Supporting Well-Being for an Aging Population features case studies from five community health plans using innovative ways to improve care for frail elderly patients. Learn how:
- Geisinger Health Plan reduced emergency department and inpatient admissions, and achieved a 20 percent per-plan enrollee-per-month cost reduction.
- Priority Health achieved a 38 percent decrease in inpatient stays, a 52 percent decrease in emergency department visits and a 46 percent decrease in specialty visits.
- 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 achieved a per-member, per-month cost savings of $128.
- Kaiser Permanente tested a pilot initiative in Colorado to stimulate conversations between patients and their physicians about key safety risks. KP Colorado Medicare members report that 70 percent who completed the program within the last year addressed issues with primary care providers they may otherwise not have discussed.
- Presbyterian Health Plan reduced readmission rates and lengths of stay in the hospital for members in their Hospital at Home program.
ACHP will release the brief at a webinar on May 12, 2015 at 2:00 p.m. For more information, click here.