NY State Medicaid Program Invests in Patient Activation Tools to Reduce Costs by 25%

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14 regional health systems covering New York’s Medicaid population have implemented the Patient Activation Measure® (PAM®) and related tools from Insignia Health to reduce hospital admissions and emergency services.

“PAM and CFA will enable the New York State DSRIP health systems and affiliated community-based organizations to help meet the state goal of a 25% reduction in avoidable hospital and emergency department use by Medicaid patients over the next five years.

To help manage the health of over 1.5 million Medicaid recipients over the next five years, the New York State’s Delivery System Reform Incentive Payment Program (DSRIP) is using Insignia Health’s Patient Activation Measure® (PAM®), the gold standard tool for assessing a person’s health self-management abilities, and Coaching for Activation® (CFA), a tool to help tailor healthcare support and care plans based upon a person’s PAM score.

PAM and CFA are integrated across fourteen health systems under DSRIP that collectively covers over 1.5 million Medicaid recipients. According to DSRIP, $8 billion in federal savings from Medicaid reform will be reinvested to improve the health care delivery system for Medicaid members and uninsured populations in New York.

“PAM and CFA will enable the New York State DSRIP health systems and affiliated community-based organizations to help meet the state goal of a 25% reduction in avoidable hospital and emergency department use by Medicaid patients over the next five years,” said Rita Hubbard-Robinson, JD, Director, Patient Activation Measures and Engagement, Millennium Collaborative Care. “We are working with the uninsured, non-utilizers, and low-utilizers with hopes to improve their health habits and preventive care,” she added.

Numerous medical research studies and documented results of healthcare organizations using PAM and CFA show that as activation increases, patients experience corresponding decreases in hospital admissions, use of emergency services and overall cost of care. In addition, there are improvements in health outcomes, medication adherence and patient satisfaction.

“We are excited to partner with these front-line forces to initiate positive change for Medicaid patients in New York. We see again and again how allocating resources and tailoring support to PAM-based levels of activation improve quality of care and reduce costs,” said Craig Swanson, President of Insignia Health. “More than 100 studies have shown that when care programs are tailored to activation level, self-management and health outcomes improve significantly,” he added.

Health systems participating in DSRIP include:

  •     Adirondack Health Institute
  •     Albany Medical Center
  •     Alliance for Better Health Care
  •     Bassett Medical Center
  •     Care Compass Network
  •     CNY Collaborative Care
  •     Finger Lakes Performing Provider System
  •     Millennium Collaborative Care
  •     North Country Initiative
  •     Nassau Queens Performing Provider Systems
  •     One City Health
  •     Staten Island Performing Provider System
  •     Stonybrook Medicine
  •     Westchester Medical Center

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About Insignia Health: Insignia Health is the gold standard provider of patient activation solutions that pinpoint population health risk, improve health outcomes, reduce healthcare costs and increase patient/member satisfaction. Our Patient Activation Measure® (PAM®) is a predictive powerhouse backed by over a decade of health activation research and insight gained from supporting hospitals, health systems, health plans, life science firms and government agencies around the globe. Our products and services help organizations exceed performance objectives by measuring activation and tailoring care programs to specific activation levels. We strive to lessen disease, illness burden and premature deaths around the world. Insignia Health is headquartered in Portland, Oregon. Visit http://www.insigniahealth.com, email info(at)insigniahealth(dot)com or follow us on Facebook and Twitter.

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Sherry McVey
Insignia Health
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