Mobile Integrated Healthcare Intervention and Impact Analysis with a Medicare Advantage Population.

Mobile Integrated Healthcare (MIH) is a patient-centered, innovative delivery model offering on-demand, needs-based care and preventive services, delivered in the patient's home or mobile environment. An interprofessional MIH clinical team delivered a care coordination program for a Medicare Advantage Preferred Provider Organization that was risk assigned prior to intervention to target the highest risk members. Using claims and eligibility data, 6 months of pre-program experience and 6 months of program-influenced experience from the intervention cohort was compared to a propensity score-matched comparison cohort to measure impact.

Mobile Integrated Healthcare: Preliminary Experience and Impact Analysis with a Medicare Advantage Population.

Mobile Integrated Healthcare (MIH) is a novel, patient-centered approach to population management. This concept creates a needs-matched, time appropriate assignment of one or more members of a multi-professional clinical team to care for patients on a scheduled or unscheduled basis. The selection of the site of care for scheduled interventions is driven by patient choice and, most often occurs in the patient's home; unscheduled interventions are guided by a 5-point triage system and, based on acuity, may be treated in the home, primary care office, urgent care or, rarely, in an emergency department.

An Innovative Approach to Health Care Delivery for Patients with Chronic Conditions.

Although the health care reform movement has brought about positive changes, lingering inefficiencies and communication gaps continue to hamper system-wide progress toward achieving the overarching goal-higher quality health care and improved population health outcomes at a lower cost. The multiple interrelated barriers to improvement are most evident in care for the population of patients with multiple chronic conditions. During transitions of care, the lack of integration among various silos and inadequate communication among providers cause delays in delivering appropriate health care services to these vulnerable patients and their caregivers, diminishing positive health outcomes and driving costs ever higher.