The clinical outcomes of a new integrated model of care for frail seniors that bridges housing and healthcare are so significant that researchers believe the program has the potential for substantial Medicare cost savings.
The model provides residents with onsite, comprehensive therapy, medical care, pharmacy, and lab services. Key components to the program include a care navigator who coordinates the residents’ total care and high-tech/high-touch communications that transfer the resident’s information to ancillary and acute care services through an electronic health record.
Although Juniper Communities’ residents were older and more cognitively impaired than the overall Medicare population with similar conditions, independent researchers from Anne Tumlinson Innovations looked at 2012 Medicare Beneficiaries Survey, as well as those living in senior housing that didn’t provide an integrated healthcare program, and found Juniper’s Connect4Life program had:
- 50% lower inpatient hospitalization rates
- 80% lower readmission rates
- 15% lower rate of emergency department use
“I thought the results might be good but you never know until you get the data. But I didn’t expect the significance of the results. The results show when you provide supportive housing and services and integrate with clinical care services you can avoid high utilization of the highest cost services.”
Lynne Katzmann, Ph.D., founder and president of the Bloomfield, New Jersey-based operator of senior communities in New Jersey, Pennsylvania, Florida and Colorado, explained the significance to FierceHealthcare in an exclusive interview. She noted this model has the potential to address population health among the 5% who use 50% of healthcare resources.
Although the model is new and the research is based on a year’s worth of data, Katzmann said the results are encouraging:
“The results are so strong that I think this is a model that can be replicated and have meaningful results for hospitals, health systems, Medicare Advantage plans and individual providers. It’s a win-win.”