11% Cost Reduction Saved $2.8M on 541 Patients -- 3.3 to 1 Program ROI
Geisinger Health Plan, begun in 1985, is one of the nation’s largest HMOs, serving 290,000 members, and is ranked among the top health insurance companies in the country.
Parent Geisinger Health System is a comprehensive healthcare network dedicated to community-focused, not-for-profit, physician healthcare, medical research and education, and serves 2.6 million residents in central and northeast PA.
Complex Care Management
GHP wanted to assess the impact of telemonitoring on heart failure patients. Remote monitoring of weight and self-reported symptoms was threaded into GHP’s already robust complex care management process to detect pre-acute conditions at the earliest opportunity.
The study tracked 541 Medicare Advantage members with an average stay on the program of 2 years, making it one of the longest and largest Heart Failure telehealth studies to date.
Total Savings $2.8M
Program ROI 3.3 to 1
Results demonstrated significant reductions in probability of all-cause readmission, 30-day, and 90-day readmission.
Cost of care was reduced, yielding 11% cost savings and ROI of 3.3 to 1.
The study found that telemonitoring enhanced effectiveness of an existing and robust care management program in managing elderly patients with heart failure.