Association of a Care Coordination Model With Health Care Costs and Utilization
Author(s) -
Scott A. Berkowitz,
Shriram Parashuram,
Kathy Rowan,
Lindsay Andon,
Eric B Bass,
Michele Bellantoni,
Daniel J. Brotman,
Amy Deutschendorf,
Linda Dunbar,
Samuel C. Durso,
Anita Everett,
Katherine Giuriceo,
Lindsay Hebert,
Debra Hickman,
Douglas E. Hough,
Eric Howell,
Xuan Huang,
Diane Lepley,
Curtis Leung,
Yanyan Lu,
Constantine G. Lyketsos,
Shan Murphy,
Tracy Novak,
Leon Purnell,
Carol Sylvester,
Albert W. Wu,
Ray Zollinger,
Kevin Koenig,
Roy Ahn,
Paul B. Rothman,
Patricia M. Brown
Publication year - 2018
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2018.4273
Subject(s) - medicaid , medicine , propensity score matching , transitional care , psychological intervention , emergency department , general partnership , acute care , health care , quality management , intervention (counseling) , family medicine , emergency medicine , nursing , finance , economics , economic growth , management system , management
Key Points Question Is the Johns Hopkins Community Health Partnership, a broad care coordination program inclusive of acute care and community interventions, associated with improved health outcomes? Findings This quality improvement study found that the community intervention was associated with a statistically significant reduction in admissions, readmissions, and emergency department visits for Medicaid, but the utilization results were mixed for the acute care intervention. In terms of cost of care, there were statistically significant cost savings totaling $113.3 million. Meaning A care coordination model in an urban academic center environment can be associated with improved outcomes, including substantial cost reduction.
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