Minnesota Health Care Home Care Coordination Cost Study

Minnesota Health Care Home Care Coordination Cost Study

Author: Elizabeth Lukanen

Publisher:

Published: 2017

Total Pages: 26

ISBN-13:

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Minnesota’s Health Care Home (HCH) program is aimed at developing patient-centered, team-based care that links the medical component of primary care to wellness, prevention, self-management, and community services.


Costs and productivity in patient-centered medical homes

Costs and productivity in patient-centered medical homes

Author: Jerry Cromwell

Publisher: RTI Press

Published: 2016-07-28

Total Pages: 26

ISBN-13:

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To address the fragmentation and discontinuities in health care, patient-centered medical homes (PCMHs) provide additional care coordination services for an extra management fee with the goal of saving private and public insurers money while improving the quality of care. Because empirical evidence showing PCMH financial success is unavailable, we use claims data from 312 PCMHs and a matched set of comparison practices to simulate the required reductions in hospital admissions, readmissions, and other services necessary to achieve statistically detectable savings thresholds. We also determine staff coordination time and productivity levels necessary to result in detectable savings. Our results indicate that PCMHs will have to generate annual savings between 3 percent and 30 percent depending upon the underlying cost variation per beneficiary, number of demonstration practices, and the extent of beneficiary clustering within practices. Eliminating all readmissions or most non-hospital services alone will not achieve required savings, even in larger initiatives. In order to be cost-effective, additional physician and nurse time coordinating care will have to be quite productive in reducing costly health services. If so, this likely will result in substantial profits for highly productive PCMHs.


The Future of Nursing 2020-2030

The Future of Nursing 2020-2030

Author: National Academies of Sciences Engineering and Medicine

Publisher:

Published: 2021-09-30

Total Pages:

ISBN-13: 9780309685061

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The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.


Comprehensive Care Coordination for Chronically Ill Adults

Comprehensive Care Coordination for Chronically Ill Adults

Author: Cheryl Schraeder

Publisher: John Wiley & Sons

Published: 2011-10-11

Total Pages: 484

ISBN-13: 0813811945

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Breakthroughs in medical science and technology, combined with shifts in lifestyle and demographics, have resulted in a rapid rise in the number of individuals living with one or more chronic illnesses. Comprehensive Care Coordination for Chronically Ill Adults presents thorough demographics on this growing sector, describes models for change, reviews current literature and examines various outcomes. Comprehensive Care Coordination for Chronically Ill Adults is divided into two parts. The first provides thorough discussion and background on theoretical concepts of care, including a complete profile of current demographics and chapters on current models of care, intervention components, evaluation methods, health information technology, financing, and educating an interdisciplinary team. The second part of the book uses multiple case studies from various settings to illustrate successful comprehensive care coordination in practice. Nurse, physician and social work leaders in community health, primary care, education and research, and health policy makers will find this book essential among resources to improve care for the chronically ill.


MinnesotaCare

MinnesotaCare

Author: DIANE Publishing Company

Publisher: DIANE Publishing

Published: 1994

Total Pages: 108

ISBN-13: 9780788103803

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