CORDATA BLOG

Dramatic Cost Savings in Recent UAB Study on Lay Navigation

Posted by Cam McClellan Teems

June 4, 2015 at 3:00 PM

   

University of Alabama at Birmingham (UAB) presented an observational study at last week's annual American Society of Clinical Oncology meeting in Chicago.  The results are staggering.

UAB examined 30,589 Medicare patients (ages 65 and older) receiving cancer care across the Network from January 1, 2012, through December 31, 2014. Lay navigation started in March 2013. By the end of 2014 approximately 25 percent of eligible Medicare patients were navigated.

The study evaluated health care utilization with hospitalizations, ER visits, ICU admissions and hospice admissions for all eligible Medicare patients. Results during the PCCP (Patient Care Connect Program) implementation include:

  • Hospitalization rates dropped significantly from 35.8 percent to 16.1 percent in the navigated patient population; in comparison to the non-navigated group that only changed from 10.8 percent to 7.5 percent.
  • ER visits decreased from 30.7 percent to 21.8 percent in the navigated patient population; in comparison to the non-navigated group that only changed from 14.6 percent to 13.7 percent.
  • With ICU admissions, a dramatic reduction occurred from 10 percent to 4 percent in the navigated patient population; in comparison to the non-navigated group that only changed from 2.5 percent to 1.7 percent.
  • In terms of Medicare claims, there was a considerable reduction of overall cost in the navigated patient population from $15,091 to $8,269 per patient per quarter, which is a Medicare savings of $6,822 per navigated patient.
  • Cost in the last six months of life decreased from $23,735 to $16,764 per patient for the navigated patient population; in comparison to the non-navigated group that increased from $13,418 to $15,544.

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Topics: Industry News, Navigation & Care Coordination, ACE 2016

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