Improving value for underserved populations with a community-based intervention: a retrospective cohort study

Archives of Public Health

Research

Nirav R. Shah¹  John Rothen²  Tom Carlough²  Claude Pinnock² 

[1] Clinical Excellence Research Center, Stanford University, Stanford, CA, USA;Wider Circle, Redwood, CA, USA;

关键词: Social Determinants of Health;    Inequity;    Community based health;    Closing gaps;    Member outcomes;    Lower costs;    Higher value;   

DOI  :  10.1186/s13690-023-01117-z

 received in 2022-12-12, accepted in 2023-05-23,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHealthcare inequity drives high costs, worse outcomes and is heavily influenced by social determinants of health (SDOH). Addressing health behaviors and SDOH through a culturally competent community-based exposure may be effective in improving value for Medicaid enrollees. This study aims to evaluate whether such an exposure lowers costs at equal or improved quality.MethodsA retrospective cohort study leveraging claims data was conducted in Detroit, Michigan from April 2021 to April 2022 to examine the impact of a community-based peer support program on clinical, utilization and financial outcomes. A one-to-one propensity matching of 738 pairs of African American Medicaid enrollees was generated, and compared the difference of differences between inpatient, emergency department, prescription and outpatient paid amounts, utilization, and available claims-based quality metrics.ResultsCompared to controls, peer support recipients generated significantly lower per member per month costs ($115, (95% CI $20.2 to $210)). Recipients showed a significant increase in the Adult Access to Preventative/Ambulatory Health Services 20–44 year old quality metric (8.31% (95% CI 0.35–16.3%)). Member retention in the health insurance plan was significantly higher for peer support recipients vs. the control group by 3.62% (p < 0.05). Peer support recipients displayed non-significant improvement on all other utilization and actuarial measures. No significant difference was found for any of the other examined quality metrics.ConclusionsAmong a population of African American Medicaid enrollees, a culturally competent community-based intervention was associated with lower cost and better member retention with preserved or improved quality.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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