November 30, 2018
Insignia Health supports Washington State’s Successful Health Home Program Built on the Principles of Patient Activation
Second evaluation period report shows the health home program serving high-cost, high-risk Medicare-Medicaid enrollees saved more than $105 million over 30 months
The Centers for Medicare & Medicaid Services (CMS) recently completed the second evaluation report on the State of Washington’s Managed Fee-for-Service (MFFS) model project known as Washington Health Homes. In evaluating the two demonstration periods conducted from July 2013 to December 2015, the Health Home program generated a combined estimated savings of $105 million for Medicare.
A key element to the success of the Health Homes program is the required use of Insignia’s Patient Activation Measure® (PAM®) survey, the gold standard tool for assessing a person’s health self-management abilities and the Coaching for Activation® system. PAM determines an individual’s level of health activation – knowledge, skills and confidence – for self-managing health and healthcare issues.
According to the report:
The demonstration’s focus on patient activation and engagement has helped empower enrollees to set goals, engage with their physicians, and make health decisions that will improve their health and quality of life. (P.9)
The total impact of the demonstration on Medicare per beneficiary per month expenditures was $219.55 in gross savings and there were 479,509 eligible beneficiary-months in Washington over the first 2 years of the demonstration. This translates to over $105.3 million in estimated gross savings to Medicare. (Table 26, P.65)