From "The Medical Home: Disruptive Innovation for a New Primary Care Model," Deloitte reports, "Currently, 45 percent of the population has a chronic medical condition. Among the Medicare population the statistics are even worse: 83 percent have at least one chronic condition and almost a quarter have at least five co-morbidities." And, according to CMS data, 3 out of every 4 dollars spent on healthcare is due to chronic diseases." Deoitte's full report can be downloaded using the green button below.
Deloitte Consulting has long been an advocate of innovative healthcare care delivery models and has published signifcant research and opinions around same. Unfortunately, a great many of the providers that make up healthcare delivery channels--particularly outside of primary care settings--fall outside of Deloitte's business focus. Rather, their business is focused on very large, complex institutions where they can make a living for years on end. As Ankota readers know, many post acute providers are small to mid sized operations, typically regional in focus, and have to approach business operations more pragmatically. However, even Deloitte recognizes that the predominant care delivery models & fee for service payment models are limited at best, particularly when it comes to managing chronic conditions. New models of care must rely increasingly on partnerships with post acute providers for care delivery, where outcomes are better, services are less expensive, and patients are happier.
Innovative health care delivery models that are already upon us--those that drive the highest value and best outcomes--are not limited to traditional, large institutions. Programs of care like Patient Centered Medical Home models, while they may often be driven by payors, hospitals and ACOs, will increasingly rely on post acute providers for delivery of services. Post acute care delivery channels are already established, but are typically disconnected and poorly coordinated with programs like Patient Centered Medical Home. That will change rapidly, and Ankota is positioned to accelerate change by enabling highly cooperative, well coordinated care delivery models through better technology. To learn more about how Ankota's technology is used to establsh vitrual "ecosystems" of providers so that they can better Plan, Coordinate & Deliver care, click here
Acute and post-acute providers are already coming together in efforts to better manage care, and chronic conditions are especially well suited for this approach. Chronic conditions demand proactive, integrated approaches that are sustained over long periods of time and utilize best practices of care. Protocol based approaches that are delivered outside of hospital settings and more specifically, in the home, have been proven to be much more effective and dramatically less expensive.
Deloitte reports, "There is widespread recognition that the U.S. health care system falls short in its efforts to effectively manage chronic conditions. Currently, 45 percent of the population has a chronic medical condition. Among the Medicare population the statistics are even worse: 83 percent have at least one chronic condition and almost a quarter have at least five co-morbidities." And, according to CMS data, 3 out of every 4 healthcare dollars spent are due to chronic diseases. Simply waiting for patients to experience enough problems to send them in to the ED is a proven failure.
A good starting point for reducing U.S. health care expenses overall is to implement a long-term strategy to reduce the costs associated with unmanaged chronic conditions. "The Medical Home: Disruptive Innovation for a New Primary Care Model," a paper by the Deloitte Center for Health Solutions, part of Deloitte LLP, offers a strategic perspective on this potential solution to address the challenge of chronic care management.
In a medical home model, primary care clinicians and allied professionals provide conventional diagnostic and therapeutic services, as well as coordination of care for patients that require services not available in primary care settings. The goal is to provide a patient with a broad spectrum of care, both preventive and curative, over a period of time and to coordinate all of the care the patient receives.
"The Medical Home: Disruptive Innovation for a New Primary Care Model" examines medical home models, their savings potential, and the implications for policymakers and key industry stakeholders. The paper also offers compelling arguments in favor of medical home adoption."
To read the full report, please click here