Before an insurer can successfully reduce hospital readmission rates, it should first work toward improving care transitions, according to Highmark.
To help reduce alarmingly high hospital readmission rate throughout the country insurers, including WellPoint, have begun operating their own doctor offices and clinics--the theory is that if insurers can directly provide care for their own members, they could decrease unnecessary readmissions.
By partnering with a hospital chain and doctor group to coordinate care for members of the California Public Employees' Retirement System (CalPERS), Blue Shield of California helped save $37 million for the state program.
Highmark wants to reduce hospital readmissions to help chip away at the $25 billion they cost the healthcare system, requiring hospitals participating in its pay-for-performance program, called Quality Blue, to track and curb readmissions.
Sentara Healthcare, based in Chesapeake, Va., originally launched its remote monitoring program of chronic care patients, which resulting in decreasing readmissions from 15 percent to 2 percent.
Blue Cross Blue Shield of Michigan has helped decrease patient mortality rates, hospital readmissions, emergency department visits and surgery complications--plus saved $232 million in health...
Imagine this: During an appointment with a primary care doctor, a patient pulls out a brown paper bag filled with prescription medication bottles, half of which are open and the pills have spilled
Blue Cross and Blue Shield of Illinois and the Illinois Hospital Association are partnering on a venture to improve patient quality via care transition, palliative care improvements and reduced