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Study supports CareCentrix model

Study supports CareCentrix model

WASHINGTON and HARTFORD, Conn. – Avalere, an independent health care research and consulting firm, has found a major reduction in the total cost of care for patients managed by CareCentrix through reduced emergency room visits, hospital utilization and hospital readmissions. 

Avalere found that the total cost for Medicare Advantage members was 44% lower in the CareCentrix-managed population during the initial 90 days following discharge and 27% lower twelve months after discharge. 

“We know that our programs provide intelligent care traffic control, substantially reducing health care costs and improving outcomes,” said John Driscoll, CEO of CareCentrix. “The Avalere analysis demonstrates that our approach is having a much greater positive impact for patients than we imagined. CareCentrix saves money not by limiting access, but through empowering patients and caregivers, addressing clinical and non-clinical needs, and making certain patients get the help they need through coordinated, tech-enabled post-acute care.” 

For the report, Avalere analyzed a population of more than 24,000 individuals using de-identified claims data, retaining full editorial control. 

Specifically, Avalere found the CareCentrix-managed population had: 

  • an up to 22% reduction in readmission rates during the initial 30-, 60- and 90-day periods following discharge; 
  • a 21% reduction in emergency department visits compared to the baseline pre-discharge ED visits, greater than the 10% reduction in the non-CareCentrix-managed population; and 
  • a 71% reduction in skilled-nursing facility expenditures following discharge compared with a 47% cost reduction in the non-CareCentrix-managed population. 

CareCentrix credits a model that is based on three pillars: addressing social needs, making care personal and powering it with technology. 


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