CareFirst BlueCross BlueShield said its Patient-Centered Medical Home (PCMH) costs were $314 million less than expected in 2014, demonstrating that the “program continues to show dramatic impacts on overall medical spending and key health care quality indicators.”
The Baltimore-based insurer said annual medical costs were trending upwards of 7.5% annually when the PCMH launched in 2011. Annual increases have since been limited to 3% overall, with increases for patients within the PCMH at an “unprecedented” 2%.
From 2011 through 2015 year-to-date, CareFirst members have experienced, at a per 1,000 member rate:
19% fewer hospital admissions
% fewer days in the hospital
% fewer hospital readmissions for all causes
% fewer outpatient health facility visits