2015 Was the Year Research Finally Demonstrated Benefits of Oncology Care Coordination

Posted by Cam McClellan Teems

January 5, 2016 at 10:30 AM


Here are a few research-grounded benefits for the business case of adding a navigator/care coordination program or adding navigator staff:

In 2012, UAB was awarded a $15 million grant from the Center for Medicare and Medicaid Innovation (CMMI) to develop the “Patient Care Connect Program.” The program currently consists of about 40 non-clinical navigators working across 12 UAB Health System Care Community Network sites. Their goal is to improve patient engagement and help patients overcome barriers to care, such as transportation or scheduling challenges.  Starting in 2013, about 30% of Medicare patients seen within the University of Alabama at Birmingham (UAB) system were paired with a lay navigator. When researchers compared health care utilization by Medicare patients before and after implementation of the program, they saw the following improvements:

  • 18% decrease in hospitalizations
  • 12% decrease in ED visits
  • 14% decrease in ICU admissions
Most striking, over the first five quarters of the program, there was a decrease in costs of about $952 per beneficiary – amounting to an estimated total reduction of over $18 million for patients receiving navigation. (See 2015 ASCO Annual Meeting. Trends in resource utilization and costs during implementation of a lay navigation program.)

Topics: ACE 2016

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