Intensive Case Management Reduces Inpatient Admissions and Emergency Department Visits Among Costly, Medically Complex Patients Without Insurance

Intensive Case Management Reduces Inpatient Admissions and Emergency Department Visits Among Costly, Medically Complex Patients Without Insurance

Snapshot
Summary
The University of New Mexico Health Sciences Center's Care One program provides intensive case management and care coordination services to costly, medically complex patients who lack insurance. The program assigns each enrolled patient to a physician-led team of providers, including a social worker and behavioral health specialist, who help the individual navigate the health care system, access available financial assistance, and utilize appropriate community resources. The program has significantly reduced inpatient admissions and emergency department visits and led to high levels of patient satisfaction.

Evidence Rating
Moderate: The evidence consists of pre- and post-implementation comparisons of inpatient admissions and ED visits, along with anecdotal feedback from program participants.

Developing Organizations
University of New Mexico Health Sciences Center

Date First Implemented
2004

Patient Population
Vulnerable Populations > Impoverished; Medically uninsured; Medically or socially complex

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http://www.innovations.ahrq.gov/content.aspx?id=2675