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| Evidence of Cost Savings
New evidence of cost savings! Click here to view an article from The American Geriatrics Society discussing hospitalizations and skilled nursing facility admissions before and after the implementation of a home-based primary care program. The Veterans’ Administration’s Home-Based Primary Care program, which has been operating since 1972, exists in over 250 locations in 48 states. It treats 25,000 chronically ill patients daily and soon will be available at every VA facility. The program has reduced in-patient days by 62 percent and reduced overall costs by 24 percent. The Virginia Commonwealth Medical Center house calls program in Richmond, VA has been operating for 23 years and has reduced hospital costs by 60% for high costs beneficiaries with multiple chronic diseases. The Call Doctor Medical Group has operated a physician house call practice for 25 years in San Diego, CA focused on Medicare beneficiaries with multiple chronic diseases. The Group has reduced ER visits by 59% and generated per capita savings of $1,075. The Home Physicians program in Chicago, IL has been operating for 15 years and currently treats 7,000 high cost Medicare beneficiaries with multiple chronic illnesses. The program has shown a reduction in ER visits and hospitalizations from 35% to as high as 60% over the years. The House Call program at Montefiore Health System in the Bronx, NY has been operating for 5 years treating high cost elders with multiple chronic diseases. The program currently has an enrollment of 400 patients and has shown a 42% reduction in hospitalizations, with a 33% reduction in total costs. The Mount Sinai Visiting Doctors program in New York City, NY has been operating for 14 years treating elders with multiple chronic diseases, has an annual census of 1,100 beneficiaries and has reduced hospitalizations for those patients by 66%. The House Call program at the Washington Hospital Center, in Washington, DC has been operating for 10 years and has an active census of 600 patients with 3 or more chronic diseases. The program has produced a 25% reduction in hospital length of stay and a 75% reduction in hospitalizations at the end of life. Geriatric Care of Nevada (now Geriatric Specialty Care) house call program in North Central Nevada has operated for 8 years with a patient census of 850 patients with multiple chronic diseases. The program has reduced hospitalizations by 27% and per patient total costs by $750. The GRACE House Calls program in Indianapolis, IN has operated for more than 5 years and has reduced ER visits by 50%. Hospitalization rates were reduced by 43% for this high cost beneficiary population.
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