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Going Beyond Clinical Care to Reduce Health Care Spending

Findings From the J-CHiP Community-based Population Health Management Program Evaluation

Murphy, Shannon M.E., MA*; Hough, Douglas E., PhD; Sylvia, Martha L., MBA, RN, PhD; Sherry, Melissa, MPH*; Dunbar, Linda J., PhD*; Zollinger, Raymond, MBA, MD§; Richardson, Regina, MBA, RN, BSN, CCM*; Berkowitz, Scott A., MBA, FACC, MD; Frick, Kevin D., PhD

Erratum

In the July issue of Medical Care , the following group made contributions to the article on behalf of the J-CHiP Program: Lindsay Andon, Jenny Bailey, William Baumgartner, Michele Bellantoni, Edward Beranek, Robert Blum, Romsai Tony Boonyasai, Patricia M.C. Brown, Daniel J. Brotman, John Colmers, Amy Deutschendorf, Samuel C. Durso, Stuart Erdman, Anita Everett, Lisa Filbert, Michael Fingerhood, Daniel Ford, Peter Greene, Dalal Haldeman, David Hellmann, Debra Hickman, Eric E. Howell, Sarah Kachur, Steven Kravet, Anne Langley, Diane Lepley, Curtis Leung, Constantine G. Lyketsos, Steven Mandell, Mary Myers, Tracy Novak, David Parker, Michelle Petinga, Lindsay Hebert Proctor, Leon Purnell, Stephanie Reel, Judy Reitz, Melissa Richardson, Paul B. Rothman, Carol Sylvester, Vince Truant, and Hunter Young.

Medical Care. 56(12):1059, December 2018.

doi: 10.1097/MLR.0000000000000934
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Erratum

Background: Addressing both clinical and nonclinical determinants of health is essential for improving population health outcomes. In 2012, the Johns Hopkins Community Health Partnership (J-CHiP) implemented innovative population health management programs across acute and community environments. The community-based program involved multidisciplinary teams [ie, physicians, care managers (CM), health behavior specialists (HBS), community health workers, neighborhood navigators] and collaboration with community-based organizations to address social determinants.

Objectives: To report the impact of a community-based program on cost and utilization from 2011 to 2016.

Design: Difference-in-difference estimates were calculated for an inclusive cohort of J-CHiP participants and matched nonparticipants. The analysis was replicated for participants with a CM and/or HBS to estimate the differential impact with more intensive program services.

Subjects: A total of 3268 high-risk Medicaid and Medicare beneficiaries (1634 total J-CHiP participants, 1365 with CM and 678 with HBS).

Outcome Measures: Paid costs and counts of emergency department visits, admissions, and readmissions per member per year.

Results: For Medicaid, costs were almost $1200 per member per year lower for participants as a whole, $2000 lower for those with an HBS, and $3000 lower for those with a CM; hospital admission and readmission rates were 9%–26% lower for those with a CM and/or HBS. For Medicare, costs were lower (−$476), but utilization was similar or higher than nonparticipants. None of the observed Medicaid or Medicare differences were statistically significant.

Conclusions: Although not statistically significant, the results indicate a promising innovation for Medicaid beneficiaries. For Medicare, the impact was negligible, indicating the need for further program modification.

*Johns Hopkins HealthCare LLC, Glen Burnie

Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD

Medical University of South Carolina, College of Nursing, Charleston, SC

§Johns Hopkins Community Physicians, Medical Affairs

Johns Hopkins University School of Medicine

Johns Hopkins University Carey Business School, Baltimore, MD

Lindsay Andon, Jenny Bailey, William Baumgartner, Michele Bellantoni, Edward Beranek, Robert Blum, Romsai Tony Boonyasai, Patricia M.C. Brown, Daniel J. Brotman, John Colmers, Amy Deutschendorf, Samuel C. Durso, Stuart Erdman, Anita Everett, Lisa Filbert, Michael Fingerhood, Daniel Ford, Peter Greene, Dalal Haldeman, David Hellmann, Debra Hickman, Eric E. Howell, Sarah Kachur, Steven Kravet, Anne Langley, Diane Lepley, Curtis Leung, Constantine G. Lyketsos, Steven Mandell, Mary Myers, Tracy Novak, David Parker, Michelle Petinga, Lindsay Hebert Proctor, Leon Purnell, Stephanie Reel, Judy Reitz, Melissa Richardson, Paul B. Rothman, Carol Sylvester, Vince Truant, Hunter Young are contributed equally.

The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the US Department of Health and Human Services or any of its agencies.

The research presented here was conducted by the awardee. Findings might or might not be consistent with or confirmed by the findings of the independent evaluation contractor.

Supported by Grant number 1C1CMS331053 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services.

The authors declare no conflict of interest.

Reprints: Shannon M.E. Murphy, MA, Johns Hopkins HealthCare LLC, 6704 Curtis Court, Glen Burnie, MD 21060. E-mail: smurphy@jhhc.com.

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.