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 PMPMcost 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, President and CEO
Alliance for Community Health Plans