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

April 13, 2016

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

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

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

Full press release