A growing area in healthcare is the rise in alternative payment methodologies. Gone are the days of primarily fee-for-service medicine. The State of Colorado has recently published the results of an Accountable Care Collaborative (some folks may know this from the other name, Accountable Care Organization or ACO) in a legislative report. About half of their Medicaid members were enrolled in a Patient-Centered Medical Home where PCPs and dedicated case managers coordinated the medical care as well as non-medical care (e.g. transportation to doctor’s offices, homes sufficiently outfitted w/hand-rails if member is prone to falls). Result? The state saved approx. $44 million in 2012. However, the state invested around $38 million in total program costs including administrative fees. Hopefully, a good portion of these were up-front costs and the vast majority of these dollars should decrease in subsequent years.
Read more about this here.