TY - JOUR
AU - I. Sakinah
AU - L. Bertozzi
AU - S. Patel
AU - D. Gurley
AU - E. Hilton
AU - D. Kola
AU - P. K. Mehta
A1 - 
AB - Virtual urgent care (VUC) and emergency department at home (ED at home) are two emerging interventions that may help address avoidable health care costs driven by inadequate access to primary care. This study evaluates the integration of VUC and ED at home as a combined mobile integrated care program, into a value-based primary care model that serves Medicaid and dual-eligible populations. Use of embedded VUC and ED at home among individuals with claim-identified physical health needs was associated with a statistically significant 27% reduction in inpatient admissions (P = 0.05), a 61% reduction in readmission (P = 0.04), and a 240% increase in engagement with primary care and care coordination (P < 0.001). Use of these services was also associated with a total cost of care decrease of $550 per member per month (P = 0.07). Findings suggest that virtual and home-based acute care services may be a promising lever for value-based payment models to enhance engagement and realize goals of improved cost and outcomes among populations with complex medical and social needs.
AD - Harvard Medical School, Harvard Business School, Boston, Massachusetts, United States.; Health Economics and Evaluation, Cityblock Health, Brooklyn, New York, United States.; Mobile Integrated Care, Cityblock Health, Brooklyn, New York, United States.; Data Science, Cityblock Health, Brooklyn, New York, United States.; Population Health, Cityblock Health, Brooklyn, NY, United States.; Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston, Massachusetts, United States.
AN - 40151977
BT - Popul Health Manag
C5 - Financing & Sustainability; Education & Workforce
CP - 3
DA - Jun
DO - 10.1089/pop.2024.0232
DP - NLM
ET - 20250328
IS - 3
JF - Popul Health Manag
LA - eng
N2 - Virtual urgent care (VUC) and emergency department at home (ED at home) are two emerging interventions that may help address avoidable health care costs driven by inadequate access to primary care. This study evaluates the integration of VUC and ED at home as a combined mobile integrated care program, into a value-based primary care model that serves Medicaid and dual-eligible populations. Use of embedded VUC and ED at home among individuals with claim-identified physical health needs was associated with a statistically significant 27% reduction in inpatient admissions (P = 0.05), a 61% reduction in readmission (P = 0.04), and a 240% increase in engagement with primary care and care coordination (P < 0.001). Use of these services was also associated with a total cost of care decrease of $550 per member per month (P = 0.07). Findings suggest that virtual and home-based acute care services may be a promising lever for value-based payment models to enhance engagement and realize goals of improved cost and outcomes among populations with complex medical and social needs.
PY - 2025
SN - 1942-7891
SP - 173
EP - 178+
ST - Additive Impact of Virtual Urgent and Emergency Department at Home Care on Value-Based Primary Care for Medicaid and Dual-Eligible Members
T1 - Additive Impact of Virtual Urgent and Emergency Department at Home Care on Value-Based Primary Care for Medicaid and Dual-Eligible Members
T2 - Popul Health Manag
TI - Additive Impact of Virtual Urgent and Emergency Department at Home Care on Value-Based Primary Care for Medicaid and Dual-Eligible Members
U1 - Financing & Sustainability; Education & Workforce
U3 - 10.1089/pop.2024.0232
VL - 28
VO - 1942-7891
Y1 - 2025
ER -