Cost Reduction and ACO Data
Chronic Care Management (CCM) cost reduction; n=115
We enrolled 115 ACO beneficiaries into our CCM health coaching program. Comparing 2019 and 2020 CMS claims data on these patients, we were average saving of almost $1,200 per patient year over year.
Psychiatric Diagnosis Data
Based on 2020 ACO beneficiary data, patients with high risk diagnoses (congestive heart failure, hypertension, diabetes mellitus/obesity, and COPD) with at lease one psychiatric diagnosis (i.e. anxiety or depression) had up to a 300% greater chance for ER visit and subsequent hospitalization than those in the same high risk categories without a concurrent psychiatric diagnosis. This correlated with an additional $10,000 in cost per patient year or year. The Psychiatric Collaborative Care Management (PsychCoCM) program is designed to improve patient outcomes and, in turn, reduce overall healthcare costs.