Capital Health Plan
Program Location:
Tallahassee, FL
Payer Type:
Commercial
Payers:
Florida Blue
Reported Outcomes
Description:
Capital Health Plan (CHP) is a not-for-profit, single-site, mixed-model health maintenance organization. Tallahassee Memorial Hospital (TMH), located in Tallahassee, Florida, is a 770-bed acute care and extended care not-for-profit hospital that is part of Tallahassee Memorial HealthCare.
Using sophisticated diagnosis-based software, the health plan identified its sickest patients, and then, with the permission of their primary care physicians, contacted these patients and offered them a spot in the new clinic. Called the Center for Chronic Care, the clinic is designed specifically for patients with multiple chronic conditions who don’t fit neatly into existing programs for single diagnoses such as diabetes or congestive heart failure.
Fewer ED / Hospital Visits:
- 40% reduction in inpatient hospital days
- 37% reduction in ED visits
Improved Access:
- 250% increae in primary care visits
Cost Savings:
- 18% reduction in health care claim costs
Other Outcomes:
- Pharmacy costs increased 22 percent
Data Source(s):
