Mobile Integrated Healthcare Intervention and Impact Analysis with a Medicare Advantage Population

Abstract

Mobile Integrated Healthcare (MIH) is a patient-centered, innovative delivery model offering on-demand, needs-based care and preventive services, delivered in the patient's home or mobile environment. An interprofessional MIH clinical team delivered a care coordination program for a Medicare Advantage Preferred Provider Organization that was risk assigned prior to intervention to target the highest risk members. Using claims and eligibility data, 6 months of pre-program experience and 6 months of program-influenced experience from the intervention cohort was compared to a propensity score–matched comparison cohort to measure impact. The intervention led to a reduction in inpatient and emergency department utilization, resulting in net savings amount totals of $2.4 million over the 6 months of the program. After accounting for the costs of implementing the program, the intervention produced a return on investment of 2.97. Additionally, high patient activation and experience lend strength to this MIH intervention as a promising model to reduce utilization and costs while keeping patient satisfaction high.

Palliative Care: Too Good to Be True?

“… 16 For example, a mobile integrated healthcare (MIH) program that was held over the course of 6 months in Florida produced a net saving of over US$2.4 million. 17 The MIH is a delivery model that provides care on an as-needed basis and aims to prevent any gaps in the healthcare services. Closing these gaps will decrease healthcare costs by reducing the number of emergency hospital visits, thereby leading to an improved patient experience.…”

“…Member satisfaction was also scored as very high, with 86% of respondents saying that they would recommend the program to friends and family. 17 Overall, a multidisciplinary PC program is associated with improvements in patient quality of life, symptom burden, advance care planning, patient and caregiver satisfaction, and reduced healthcare utilization. 18 …”

“… 54 Hence, it is important to identify better strategies to coordinate care between specialists, general practitioners, and PC providers in order to overcome the existing communication and implementation barriers related to PC. 17 Professionals experienced difficulty communicating with each other in order to coordinate the delivery of care, with a reluctance to share information. 35 Some general practitioners were reluctant to suggest that patients had PC needs.…”

Approaches for Improving Health Equity: The Effect of The Gainesville Community Resource Paramedic Program on Reducing Emergency Department Utilization

“…CP and other types of mobile integrated health care (MIH) programs have been effective in reducing frequent ED utilization (Nejtek, 2017), improving chronic disease measures (Bennett, 2018), generating savings by partnering with payer and provider networks (Roeper, 2018), and assisting primary care physicians with care coordination (Chellappa, 2018).…”

Systematic Review of Community Paramedicine and EMS Mobile Integrated Health Care Interventions in the United States

“…Five programs included some form of comparison control group [24][25][26][27][28][29] and 2 programs lacking a control group compared each individual's outcomes in the intervention group before and after program implementation. 30,31 Notably, in-tervention and control groups often were selected retrospectively, and none of the studies reported random assignment of groups.…”