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:6/24/2016)... ... June 24, 2016 , ... The ... in Dallas that it will receive two significant new grants to support its ... PHA marked its 25th anniversary by recognizing patients, medical professionals and scientists for ...
(Date:6/24/2016)... ... ... People across the U.S. are sharpening their pencils and honing their writing ... which patients and their families pay tribute to a genetic counselor by nominating him ... Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, Genome ...
(Date:6/24/2016)... ... June 24, 2016 , ... National recruitment firm ... sciences executive with extensive sequencing and genomics experience, as Vice President of North American ... Hill will be responsible for leading the sales team in the commercialization of the ...
(Date:6/24/2016)... ... June 24, 2016 , ... To succeed under value-based payments, ... are unsure how to move forward, given the need to sustain current operations. ... tailored to an organization’s specific needs. , PYA Principal Martie Ross states, “Healthcare ...
(Date:6/23/2016)... ... June 23, 2016 , ... Terumo BCT, ... organization responsible for clinical transfusion research programs and for the blood supply in ... Evaluation and Predictive Analytical Rating Score (PREPAReS) study. , Currently in its ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Calif. , June 24, 2016  American Respiratory Labs (ARL), ... is now able to perform sophisticated lung assessments in patients, homes, ... , Inc. Patients are no longer limited to ... EasyOne PRO ® , ARL patients like Jeanne R. of ... in the comfort of her own home. ...
(Date:6/24/2016)... , June 24, 2016   Pulmatrix, Inc ... company developing innovative inhaled drugs, announced today that it ... Russell Investments reconstituted its comprehensive set of U.S. ... "This is an important milestone for Pulmatrix," said ... increase shareholder awareness of our progress in developing drugs ...
(Date:6/23/2016)... 2016  MedSource announced today that it has ... solution of choice.  This latest decision demonstrates MedSource,s ... their clients by offering a state-of-the-art electronic data ... nowEDC as the EDC platform of choice in ... "nowEDC has long been a preferred EDC platform ...
Breaking Medicine Technology: