Ready, Risk, Reward: Improving Care for Patients with Chronic Conditions

Published 2/07/19

This reports highlights the major opportunity to offer more coordinated and preventative care services in ambulatory care settings to avoid unnecessary emergency department visits. Premier analyzed nearly 24 million emergency department visits across 750 hospitals and found that approximately 4.3 million visits associated with patients who have at least one of the common six chronic conditions were potentially preventable. In an effort to overcome the fragmentation and perverse incentives that discourage coordinated, cost-effective care delivery, healthcare provider members of Premier are designing and implementing clinically-integrated, high-value networks. Best practices from Premier and its members suggest that a patient-centric, physician-aligned care management model can be effective in reducing avoidable emergency department visits, with a savings potential of an estimated $8.3 billion.

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