Navigation Links
Study Cites Medicare Advantage Plans Outperform Medicare Fee-For-Service Plans
Date:9/15/2009

Lower Rates of Avoidable Hospitalizations Seen as Key to Ensuring Quality and Controlling Costs in Health Care Reform

Albany, NY (Vocus) September 15, 2009 -- A recent study released by John Hopkins University and commissioned by the Alliance of Community Health Plans (ACHP) found that Medicare Advantage (MA) plans score better than traditional Medicare fee-for-service (FFS) plans in key quality criteria. As an ACHP member plan, CDPHP Medicare Choices exemplifies this recent finding with significantly lower rates of avoidable hospital readmissions, preventable admissions, and emergency department visits than traditional Medicare. Based on 2007 data, the analysis showed that CDPHP Medicare Choices' hospital readmission rate (13.87 percent) was nearly 26 percent lower than traditional Medicare's national average (18.6 percent). Hospital readmissions cost Medicare $17.4 billion in 2004.

The report underscores the assertion that it is possible to improve quality and lower costs in the Medicare program if the delivery system is structured differently. Community-based MA plans like CDPHP are able to keep more of their Medicare members out of the hospital and avoid unnecessary costs because they invest in delivering the kind of coordinated, patient-centered medical care that traditional FFS Medicare-- in its current state-- cannot consistently provide.

"CDPHP Medicare Choices' high degree of coordination and integration of care can serve as a blueprint for achieving better delivery, improved outcomes, and lower costs in the Medicare program," said John D. Bennett, president and CEO, CDPHP. "Our members who face the daily challenges of living with a chronic condition would prefer to receive good preventive care that keeps them healthy and out of the hospital. These results confirm what we see every day-- that our investment in better care results in happier patients and better outcomes."

In addition to a comprehensive care coordination and case management program, CDPHP believes in the patient-centered medical home (PCMH) model of care and is in the midst of a 30-month PCMH initiative with three of its largest Capital Region practices.

The Alliance of Community Health Plans (ACHP) is a Washington-based membership organization of 19 non-profit, community-based, and regional health plans and provider organizations from across the country. These plans are similar to CDPHP because they all focus on improving the health of the communities they serve through integrated and coordinated care delivery.

"ACHP commissioned this report in response to issues raised by Congress, the Obama Administration and the Medicare Payment Advisory Commission (MedPAC)," said Patricia Smith, president and CEO of ACHP. "There is a broadly shared concern that hospitalization rates are too high and that a lack of coordination is the cause. Our goal for this report is to provide guideposts for Congress as they write health reform legislation, and to work in partnership to establish sensible market incentives that will lead to coordinated, integrated care as well as continuous patient engagement."

About CDPHP®
Celebrating its 25th anniversary in 2009 as a physician-founded and guided health plan, CDPHP and its affiliates currently serve members in 29 counties throughout New York state and seven counties in Vermont. The affiliated companies of CDPHP include a family of products: Capital District Physicians' Health Plan, Inc.--HMO, Healthy New York, Medicare Choices (HMO), Medicaid, Child Health Plus, and Family Health Plus; CDPHP Universal Benefits,® Inc.--PPO, High Deductible PPO, EPO, and Medicare Choices (PPO); and Capital District Physicians' Healthcare Network, Inc.--self-insured plans. Visit CDPHP at www.cdphp.com.

Contact:
Kristin C. Marshall
(518) 641-5031

# # #

Read the full story at http://www.prweb.com/releases/CDPHP/Medicare_Choices/prweb2886614.htm.


'/>"/>
Source: PRWeb
Copyright©2009 Vocus, Inc.
All rights reserved  

Related medicine news :

1. Early Spankings Make for Aggressive Toddlers, Study Shows
2. Wyeth Presents Data from Five-Year Vertebral Fracture Prevention Study with Bazedoxifene
3. Pharmos Announces Results of Phase 2b Irritable Bowel Syndrome Study
4. Study Shows Tubal Reversal Surgery is the Best Treatment to Have More Children After a Tubal Ligation
5. Information about the use and accuracy of breast cancer tests is lacking, study finds
6. HPV Vaccine Study Shows Why Few Women Getting Shots
7. Lupus Worse in Blacks, Hispanics Than in Whites, Study Finds
8. Joint Center to Unveil Health Reform Study Providing Answers: What Is the Cost of Not Addressing Racial Health Disparities?
9. Lowering sodium consumption could save US $18 billion annually in health costs, study finds
10. Collaborative Research Study Aims to Prevent Firefighter Injury Nationwide
11. Picking quality health care: New study shows a little context makes a big difference
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Study Cites Medicare Advantage Plans Outperform Medicare Fee-For-Service Plans 
(Date:2/8/2016)... ... February 08, 2016 , ... If you are feeling that your ... are not alone. According to the Center for Disease Control and Prevention (CDC), 34.9% ... diabetes and certain types of cancer, some of the leading causes of preventable death. ...
(Date:2/8/2016)... ... February 08, 2016 , ... Steve Helwig & Associates Insurance & ... community enrichment program, has teamed up with Citizens Opposed to Domestic Abuse in support ... abuse. To support all those victimized by the fear of violence in their own ...
(Date:2/8/2016)... ... February 08, 2016 , ... ... serving the greater Venice, FL area, has initiated a fundraiser for a two ... accident just four days after Christmas. To support this beautiful child who is ...
(Date:2/8/2016)... ... February 08, 2016 , ... ... firm, announced today that nominations will be accepted February 8, 2016 through ... , Awards include the Information Security Executive® of the Year, which ...
(Date:2/8/2016)... ... February 08, 2016 , ... Eating disorders and post-traumatic stress ... women and men with eating disorders report a history of trauma, research suggests ... of an eating disorder. , At the 2016 iaedp Symposium, the workshop, ...
Breaking Medicine News(10 mins):
(Date:2/8/2016)... PALO ALTO, Calif. , Feb. 8, 2016 ... chemical manufacturing, and Kodiak Sciences Inc., a biopharmaceutical company ... retinal disease, announced today agreements for the clinical supply ... manufacture material at multiple sites, including Slough (UK), Visp ... --> Retinal diseases, such as age-related ...
(Date:2/8/2016)... N.C. , Feb. 8, 2016  Avista Pharma ... Eric Setzer as Chief Financial Officer (CFO). Mr. ... twenty years of experience in various roles within growing ... Pharma, he served as the Executive Director of Finance ... in Raleigh, NC . Previously, Mr. ...
(Date:2/8/2016)... Vestagen Technical Textiles, Inc., a medical technology ... and other demanding applications, today announced it has named ... Dale Pfost , PhD, who was serving as ... joining Vestagen,s Board of Directors. ® , ... technologies that combines fluid repellent, antimicrobial and breathability properties. ...
Breaking Medicine Technology: