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:2/24/2017)... ... February 24, 2017 , ... The Radiology Business Management Association will ... at the annual Building Better Radiology Marketing Programs conference, held this year ... Worth, Texas. Nine awards are given out in five categories. They are:, ...
(Date:2/24/2017)... ... February 24, 2017 , ... ... Senior International Elite division on February 12th. Ms. Esparza qualified into this ... elite qualifier competition held in Las Vegas, Nevada. Frida is one of approximately ...
(Date:2/23/2017)... ... February 23, 2017 , ... Thinksport, the most award-winning ... Gran Fondo of Marin. For the second year in a row, cyclists will ... , “We are thrilled to provide our safe, non-toxic sunscreen to over 2,000 ...
(Date:2/23/2017)... ... 23, 2017 , ... The 89th Academy Awards will be celebrated this weekend, ... Policy Center Bunkum Award. We invite you to enjoy our 11th annual tongue-in-cheek “salute” ... is the Center for American Progress (CAP), for its report, Lessons From State Performance ...
(Date:2/23/2017)... ... February 23, 2017 , ... ... a clinician-based audience, will be participating in Rare Disease Day events, hosted by ... In addition, Rare Disease Report, a website, weekly e-newsletter and quarterly publication, will ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... LA JOLLA, Calif. , Feb. 23, 2017 /PRNewswire/ ... biopharmaceutical company leading the discovery and development of innovative ... quarter and full year 2016 financial results on Thursday, ... Regulus will host a conference call and webcast on ... discuss fourth quarter and full year 2016 financial results ...
(Date:2/23/2017)... -- According to a new market research ... Analog), MRI (Closed, Open), Ultrasound, CT, Nuclear Imaging (SPECT, ... (Hospitals, Imaging Centers) - Global Forecast to 2021", published ... the forecast period of 2016 to 2021. The market ... at a CAGR of 6.6% from 2016 to 2021. ...
(Date:2/23/2017)... Feb 23, 2017 ... Research and Markets has announced the addition of ... to 2025" report to their offering. The Global ... 1.8% over the next decade to reach approximately $12.8 billion by 2025. ... forecasts for all the given segments on global as well as regional ...
Breaking Medicine Technology: