Going Beyond Clinical Care to Reduce Health Care Spending: Findings From the J-CHiP Community-based Population Health Management Program Evaluation

Medical Care
Shannon M E MurphyJ-CHiP Program

Abstract

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. To report the impact of a community-based program on cost and utilization from 2011 to 2016. 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. A total of 3268 high-risk Medicaid and Medicare beneficiaries (1634 total J-CHiP participants, 1365 with CM and 678 with HBS). Paid costs and counts of emergency department visits, admissions, and readmissions per member per year. For Medicaid, costs were almost $1200 per member per year lower for participants as a whole, $2000 lo...Continue Reading

References

Mar 20, 2002·Health Affairs·J Michael McGinnisJames R Knickman
Sep 22, 2006·Health Affairs·Cathy SchoenStephen C Schoenbaum
May 2, 2015·Population Health Metrics·Patrick L RemingtonKeith P Gennuso
Nov 4, 2015·American Journal of Preventive Medicine·Carlyn M HoodBridget B Catlin
Nov 23, 2015·American Journal of Preventive Medicine·Hyojun ParkBridget B Catlin
Jan 10, 2016·JAMA : the Journal of the American Medical Association·Howard BauchnerPhil B Fontanarosa
Mar 24, 2016·Population Health Management·Melissa SherryGerard Anderson
Oct 4, 2016·Healthcare : the Journal of Delivery Science and Innovation·Scott A BerkowitzUNKNOWN J-CHiP Program
Mar 8, 2017·Health Affairs·Bara Vaida
Mar 8, 2017·Health Affairs·Elizabeth A McGlynn, Mark McClellan

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Citations

Jan 16, 2019·JAMA Network Open·Scott A BerkowitzUNKNOWN Johns Hopkins Community Health Partnership (J-CHiP) Team
Jan 21, 2019·Current Psychiatry Reports·Parashar RamanujHarold Alan Pincus
May 8, 2021·Journal of Healthcare Management / American College of Healthcare Executives·Katy Ellis HiltsNir Menachemi

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