How Health Plans Can Reduce Avoidable Utilization in Serious Illness Care


Members with serious illness often experience fragmented care, avoidable hospitalizations and repeated emergency department visits before receiving meaningful support.

For health plans, the result is rising utilization, higher costs and growing pressure to improve quality performance across Medicare, Medicaid and other high-risk populations.

This report examines how proactive, home-based palliative care can help address those challenges through earlier intervention and coordinated care delivery.

Inside the report:
 
  • How one model achieved a 52 percent reduction in inpatient admissions
  • Strategies tied to a 43 percent reduction in emergency department visits
  • Why some payer programs observed up to $3,494 in net monthly savings per patient

Please fill out the form to download the whitepaper. 

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This whitepaper is designed for leaders of health plans, payviders, managed care organizations, accountable care organizations, and clinically integrated networks.