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Improved Cost, Health, and Satisfaction With a Health Home Benefit Plan for Self-Insured Employers and Small Physician Practices

Reeves, Jerry MD; Kapp, Brian BS

Journal of Ambulatory Care Management: April/June 2013 - Volume 36 - Issue 2 - p 108–120
doi: 10.1097/JAC.0b013e3182849e71
Original Articles

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.

WellPORTAL LLC, Las Vegas, Nevada.

Correspondence: Jerry Reeves, MD, WellPORTAL LLC, 5740 SE Ave, Ste 100, Las Vegas, NV 89119 (

The authors thank the administrative and coaching staff, attending physicians, physician office staff, company executives, and member enrollees for their collaboration and assistance.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2013 Lippincott Williams & Wilkins, Inc.