Active care processes: diagnosis and treatment
Family medicine practices received training, tools, and support to assist them in screening, treating, and managing postpartum depression, leading to greater likelihood of diagnosis, enhanced access to treatment and followup support, and better outcomes.
A statewide measurement and reporting system serves as a single, comprehensive, credible source of information on provider performance, leading to significant improvements in performance over time and to adoption and use of the system by local and national payers and other organizations.
A public health plan developed a Web-based software platform that enables primary care physicians in federally qualified health centers to consult electronically with “specialist reviewers” before referring the patient to a specialist, leading to fewer unnecessary referrals and shorter wait times for patients who need to see a specialist.
Public health and community-based agencies throughout Massachusetts teach thousands of potential bystanders how to prevent, recognize, and respond to an opioid-related overdose (including administering a drug to reverse the effects), leading to a significant decline in deaths.
A breast clinic co-located in a radiology department and staffed by an advanced registered nurse practitioner enables prompt evaluation and diagnosis of patients with breast symptoms, leading to lower utilization and costs, increased efficiency for breast surgeons, and high levels of patient satisfaction.
A primary care clinic serving primarily Cantonese patients offers eligible individuals who come in for a visit during influenza season an influenza shot and a home fecal occult blood test, leading to a significant increase in colorectal cancer screening.
A recuperative care program provides homeless clients with housing, food, medical care, case management, and connections to social services after hospital discharge, resulting in improvements in their medical and housing status, fewer emergency department visits, and meaningful cost savings for participating hospitals.
A combined State-Federal program pays health plans a capitated fee to provide and coordinate acute, primary, long-term care as well as social services to those eligible for Medicare and Medicaid, leading to enhanced access to care, fewer inpatient admissions and nursing home placements, and high levels of beneficiary and provider satisfaction.
Intensive, concurrent medical and behavioral health care, addiction services, and social service coordination improve patient outcomes and reduce health system use among patients who historically have been frequent users of emergency departments.
HealthSpring's Partnership for Quality program offers bonuses to physician practices and onsite care coordination and disease management support, leading to significantly better outcomes and reduced costs for Medicare Advantage enrollees.