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Indianapolis Provider's Use Of Wraparound Services Associated With Reduced Hospitalizations And Emergency Department
Joshua R Vest1, Lisa E Harris2, Dawn P Haut3
1Joshua R. Vest ( joshvest@iu.edu ) is an associate professor of health policy and management in the Richard M. Fairbanks School of Public Health at Indiana University-Purdue University Indianapolis (IUPUI) and an investigator at the Regenstrief Institute, both in Indianapolis.
Health Affairs (Project Hope)
|October 2, 2018
Summary
Wraparound services, which address social determinants of health alongside primary care, reduce hospitalizations and emergency visits. This strategy offers significant cost savings for healthcare providers under new reimbursement models.
Area of Science:
- Health Services Research
- Healthcare Economics
- Public Health
Background:
- US reimbursement policies are shifting financial accountability to providers for patient health outcomes.
- Addressing social determinants of health (SDOH) is crucial for improving patient outcomes and reducing healthcare spending.
- Wraparound services integrate nonmedical support with primary care to address SDOH.
Purpose of the Study:
- To evaluate the impact of wraparound services on patient health outcomes and healthcare costs.
- To assess the financial viability of integrating wraparound services within a safety-net health system.
Main Methods:
- Longitudinal analysis of an eleven-year patient panel at Eskenazi Health, a federally qualified health center.
- Examined the association between receiving wraparound services and subsequent hospitalizations and emergency department (ED) visits.
- Calculated estimated cost savings from avoided hospitalizations.
Main Results:
- Receipt of any wraparound service was negatively associated with subsequent hospitalizations and ED visits.
- Estimated annual cost savings from potentially avoided hospitalizations alone reached $1.4 million.
- Wraparound services demonstrated a positive impact on patient outcomes and cost reduction.
Conclusions:
- Wraparound services are an effective strategy for improving patient health and reducing healthcare expenditures.
- Integrating SDOH interventions into primary care settings is essential for value-based payment models.
- Safety-net providers can leverage wraparound services to manage costs and enhance patient care.