Lessons from the Adventist HealthCare Population Health Playbook
(New York, NY, May 25, 2016) Cammack Health charts a ten-year path to success in their latest white paper Sustained Focus Yields Results for Adventist HealthCare.
Drawing from the partnership between Adventist HealthCare and Cammack Health, the results reflect the Adventist HealthCare’s leadership team’s long-term commitment to a strategy of well-being. Together they utilized plan design, data integration, incentive-based wellness programs, marketing, and care management to create and continuously develop an overall culture of well-being among members.
As healthcare organizations across the country transform from volume to value, the lessons Adventist HealthCare shares in this paper can help shape decisions along the journey. Beginning in 2002, long before the Accountable Care Act came into being, Adventist HealthCare began its journey to improve health and reduce costs by taking ownership of medical management services through a relationship with Conifer Health Solutions. In 2009, they launched a Patient Centered Medical Home (PCMH) pilot program to up the level of provider involvement.
Within the first year, nearly half of the high-risk members showed improvements in health. Utilization costs decreased among program participants and increased for non-participants. The per member per month (PMPM) costs dropped 35%, while non-participant PMPM costs rose 0.9%. The reduction in PMPM costs produced a return on investment of 12%.
“Our understanding of how to manage population health has evolved over time. It began as an effort consistent with our values and a way to contain costs. Now we understand how we can address the various components of population health management in a way that drives health plan performance,” said Marta Brito-Perez, Senior Vice President and Chief Human Resources Officer at Adventist HealthCare.
Key figures from the study include the engagement of 84% of eligible plan members, versus the national average of less than 25%. Additionally, Adventist HealthCare’s average annual compounded trend from 2011 to 2015 was 2.9% compared to 7.3% reported by AHIP and 6.6% from Milliman. Based on AHIP’s cost trends for the last five years, Adventist on average has saved $4.3 million annually based on their lower trends.
Donna Scott, Director of Benefits for Adventist, reiterates the importance of a cooperative leadership team, stating, “Wellness is intangible. Often you’re not able to realize return on investment until quite a way down the road. We had to have leadership that understood the value of wellness overlap for there to be a commitment of healthcare dollars.”
To read the full white paper, click here.
About Adventist HealthCare
Adventist HealthCare, based in Gaithersburg, Maryland, is a faith-based, not-for-profit organization providing wellness, disease management, and healthcare services.
Its integrated healthcare delivery network includes five nationally accredited acute-care and specialty hospitals, mental health services, and home health agencies serving the Washington, D.C., metropolitan area. Its self-funded employee health benefit plan covers almost 6,000 lives.
About Cammack Health
Cammack Health provides employee benefits and healthcare consulting services to hospital and corporate clients. It is the only firm in the region specializing in hospital benefits consulting.
Cammack Health has a broad and deep experience in building and implementing successful strategies for health systems, health plans, employers, and others who are “at risk” for the cost of health care, serving clients nationwide with a concentration along the East Coast. Core strengths include the partnerships we maintain with clients and a knowledgeable and practical management team with a 98% client retention rate.
The company is dedicated to providing an extraordinary level of customer service through best-in-class programs, technology solutions, and innovative problem solving to create value for our clients and their organizations. Clients look to Cammack Health for expert plan and program design, seamless implementation, and ongoing support and service.
Cammack Health mobilizes organizations to establish, deploy, and continuously improve the successful community/population healthcare model, and is known for turning data to insight and insight to action.
The leadership team frequently speaks at important industry events, including Northeast Business Group on Health (NEBGH), Healthcare Financial Management Association (HFMA), and The American Society for Healthcare Human Resources Administration (ASHHRA).