title: Improved cost, health, and satisfaction with a health home benefit plan for self-insured employers and small physician practices.
abstract: We compared the impacts on total costs, health, and satisfaction among 615 adults enrolled 2 years in an employer's health home benefit plan to their baseline year in a standard preferred provider organization plan. The new plan combined strong continuity care incentives with nurse coaching support. After 24 months, total medical costs were 23% lower than the baseline year, biometric measures improved for more than 85% of members, and patient satisfaction exceeded 85%. Emergency department visits decreased by 16% and hospital days decreased by 48%. Health home benefit plans engaging small primary care physician practices and members in coordinated continuity care can deliver high value.
authors: WellPORTAL LLC, Las Vegas, NV 89119, USA. JReeves@wellportal.com
authors: Jerry
authors: J
authors: Reeves
authors: Brian
authors: B
authors: Kapp
mesh_terms: D000328:Adult; D003363:Cost Control; D005194:Family Practice; D006264:Health Benefit Plans, Employee / Q000191:economics; D006699:Home Care Services; D006801:Humans; D007342:Insurance Benefits; D009505:Nevada; D017060:Patient Satisfaction