NEWTON, Mass.--(BUSINESS WIRE)--Curaspan, the leading provider of care transition solutions, and Amerigroup have announced a 15.7 percent reduction in readmission rates for high-risk members across five Baltimore hospitals as part of a year-long pilot program. The goal of this program was to enable payers, hospitals and select community providers to proactively collaborate and enroll high-risk members in community health programs prior to hospital discharge.
“We were able to work with five hospitals, four provider organizations and Amerigroup to significantly impact the care of complex members by bringing about transparency and collaboration with the use of Curaspan’s technology,” stated Rob Fisher, Vice President of Hospital Sales at Curaspan.
Amerigroup utilized Curaspan’s care transition technology and its established network of hospitals in Baltimore to receive electronic notifications when high-risk members presented at any of the five participating hospitals. The notifications provided Amerigroup with opportunities to connect the hospitals with specialty community providers to enhance member care management. Susan Garcia, Director Health Care Management Services, Amerigroup, explained “Hospital care team members can now collaborate in real-time with our payer care team, which has resulted in greater enrollment in community health programs and reduced readmissions.” Specific results of the pilot include:
- 2000+ high-risk members monitored
- 24,000+ notifications sent
- 200 high-risk Amerigroup members enrolled in community health programs
- 15.7 percent reduction in readmissions rate
“It’s a privilege to work with a like-minded partner,” described Tom Ferry, President & CEO of Curaspan. “Amerigroup and Curaspan were able to dissect a very complex and costly problem into segments that could be addressed by practical and achievable solutions ultimately driving better collaboration between payers, providers and members.”
Encouraged by the pilot’s success, Amerigroup and Curaspan have extended the program for an additional 12 months. This year’s pilot extension will also incorporate data from the Chesapeake Regional Information System for Our Patients (CRISP), a leading health information exchange serving Maryland and the District of Columbia.
Engaging with CRISP will enable Amerigroup to receive alerts and notifications for high-risk members who present to any Maryland or D.C. hospital. This will dramatically expand the program’s coverage and has the potential to significantly increase notifications around member events, leading to more transition interventions and better patient outcomes. Ferry elaborated, “We look forward to learning more as we extend the pilot for another year, expand it to include CRISP, and continue with incremental innovation.”
Amerigroup Maryland, Inc. has provided health care coverage since 1999. Statewide, we serve approximately 266,000 members in the Medicaid, Children’s Health Insurance Program (CHIP), Temporary Assistance for Needy Families (TANF), and Supplemental Security Income (SSI) programs. Amerigroup Maryland is the state’s largest Managed Care Organization (MCO) and is one of the largest MCOs in Baltimore City and the counties of Baltimore, Montgomery, Prince George’s and Anne Arundel. Employees share genuine pride in making a difference in the lives of people who might need a little extra help.
Curaspan’s best-in-breed point solutions automate transitions of care workflows to create efficiencies, reduce process variation and optimize collaboration during the patient-transition process. With a secure platform for coordination between providers and the analytics necessary to optimize performance, Curaspan’s solutions are the foundation for initiatives like ACOs, HIEs, value-based purchasing and other evolving models of care and reimbursement. Curaspan headquarters are in Newton, Mass. For more information, please visit Curaspan.com.