Featured in Health Business Daily, May 16, 2012

SCAN Health Plan’s integrated care model resulted in 25% fewer re­admissions than in Medicare fee-for-service

Reprinted from MEDICARE ADVANTAGE NEWS, biweekly news and business strategies about Medicare Advantage plans, product design, marketing, enrollment, market expansions, CMS audits, and countless federal initiatives in MA and Medicaid managed care.

May 10, 2012Volume 18Issue 9

SCAN Health Plan’s integrated care model, which provides coordinated care for Medicare-Medicaid dual eligibles through the Medicare Advantage program, resulted in 25% fewer re­admissions than in Medicare fee-for-service (FFS), according to a recent Avalere Health study. In addition, the study found that SCAN outperformed FFS in all 12 categories (for initial hospitalizations and readmissions) reviewed, scoring 40% better in treating pneumonia, 29% better in diabetes care and 25% better in addressing neurological disorders. Avalere noted that because dual eligibles are more likely than other Medicare beneficiaries to go into and stay longer in the hospital, the ability to avoid hospitalization has meaningful budgetary implications. The Avalere study looked at HEDIS 30-day all-cause hospital readmission rates for more than 5,500 SCAN dual-eligible enrollees and an equivalent number of FFS dual eligibles in California with similar medical conditions. Visit www.scanhealthplan.com or www.avalerehealth.net.


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