Demonstrates that intensive outpatient care programs show promise in reducing utilization and costs and improving patient outcomes for high-need, high-cost populations.
Among high-cost Medicare enrollees, those who are seriously ill, frail, and/or had a serious mental illness experience the most potentially preventable spending.
Virginia’s comprehensive Medicaid reform for substance use treatment services led to an increase in outpatient and community-based treatment and a decrease in emergency department and inpatient use among beneficiaries with opioid use disorder.
Providing virtual case mentoring to outpatient care teams may reduce unnecessary hospital and emergency department visits for high-need, high-cost patients.