Health Integrated Significantly Impacts The Cost Curve For Health Plan In The Northwest
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"When I joined CHPW in the fall of 2012, I realized we were facing some difficult challenges," said Dr.
CHPW's challenges included: high regulatory hurdles; gaps in risk identification and mitigation; underperforming metrics for HEDIS, HOS, CAHPS, and STARS; and a medical expense loss ratio exceeding 103%.
Health Integrated responded to CHPW's needs with a highly integrated total care management solution that includes Medical and Behavioral Case and Utilization Management, a fully compliant SNP Model of Care, Transitions of Care, and their flagship Synergy Targeted Population Management® program.
"As a partner, Health Integrated understood our performance needs and immediately went to work to support them," said
"Health Integrated has been a true partner, driving our overall performance and clinical improvements with an integrated care model that is in lock-step with CHPW's philosophy to put members first," added Hunsinger. "Based on the success of our initial partnership with Health Integrated with our MA and SNP populations, we recently expanded access to their solutions to our 285,000
- 15% increase in Office/Home Visits
- 54% increase in Physical Exams
- 7% reduction in overall Inpatient Utilization with declines of 19% in Surgical Utilization
- 9% reduction in Outpatient Utilization
- 14% reduction in Radiology in All Settings
Additionally, Health Integrated helped CHPW decrease overall member and provider complaints.
"These results are the kind that CMS likes to see as they hit the goals of the Triple Aim: better care for individuals, better health for populations, and reductions in costs," said
"The relationship between
"We are honored that CHPW chose us to support them with their strategic objectives around costs, quality and member satisfaction," said
About Health Integrated
Health Integrated is leading the reform of the U.S. healthcare ecosystem by changing the behavior of its participants: members - providers - plans. We are experts at care management execution that benefit the most vulnerable, fragile, and at-risk members at our plan partners. Our differentiated attention to an individual's behavioral and social needs drive validated medical and other outcomes for our clients, and our data-enabled technologies allow us to deliver better, faster, and at unparalleled scale. For more information, visit www.healthintegrated.com.
About Community Health Plan of
CHPW's mission is to deliver accessible, quality managed care services that meets the needs and improves the health of
CHPW is the only health plan in the state founded by local community health centers. This network brought together shared values for equal access to health care, years of experience in community organizing, and effective health care administration. CHPW serves more than 300,000 members of all ages and provide access to high quality doctors, nurses, and specialists across the state. For more information, visit www.chpw.org.
About ACAP
ACAP represents 58 nonprofit Safety Net Health Plans in 24 states, which collectively serve nearly 12 million people enrolled in
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