Ten common conditions represented more than 2 million annual emergency room visits in New York at an estimated cost of about $1.3 billion, and nine out of 10 of them could have been avoided or treated elsewhere, according to research issued by Excellus BlueCross BlueShield.
A new infographic by Excellus BlueCross BlueShield highlights key findings from the study, including the impact of preventable visits and the geographic regions with higher rates of preventable visits.
Asked by its C-suite to quantify contributions of its multidisciplinary care team for its highest-risk patients, AltaMed Health Services Corporation readily identified seven key performance metrics associated with the team. Having demonstrated the team's bottom line impact on specialty costs, emergency room visits, and HEDIS® measures, among other areas, the largest independent federally qualified community health center (FQHC) was granted additional staff to expand care management for its safety net population.
Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations chronicles AltaMed's four-phase rollout of care coordination for dual eligibles—a population with higher hospitalization and utilization and care costs twice those of any other population served by AltaMed.
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