Highlights of the MDVIP Hospitalization Study include:
- By 2010, MDVIP hospital discharges for the Medicare population were 79% lower than the non-member Medicare population, and this difference was shown to be trending up since 2006 (70% to 79%). A similar trend was seen in the non-Medicare population (49% to 72%).
- Elective, non-elective, emergent, urgent, avoidable and unavoidable admissions were all lower among the MDVIP members compared to non-members for the years 2006, 2007, 2008, 2009 and 2010, demonstrating consistent reductions.
- For elective hospital admissions, patients in MDVIP-affiliated practices had 83% fewer hospitalizations in 2010 than did patients in traditional primary care practices. For elective admissions, the patient’s condition permits adequate time to schedule the hospitalization.
- For non-elective hospital admissions, patients in MDVIP-affiliated practices had 56% fewer hospitalizations than did patients in traditional primary care practices. For non-elective admissions, the patient’s condition does not permit adequate time to schedule the hospitalization (urgent or emergent).
- Urgent admissions were 42% lower for the MDVIP population than for the non-MDVIP population.
- For emergent admissions, MDVIP was 58% less than the non-MDVIP cohort.
- Readmission rates for Medicare patients in MDVIP-affiliated practices were 97%, 95% and 91% less frequent than non-MDVIP Medicare patients for acute MI (heart attack), CHF (heart failure) and pneumonia, respectively.
Researchers contributing to the study include: Andrea Klemes, DO, FACE; Ralph E. Seligmann, MD; Lawrence Allen, MD; Michael A. Kubica, MBA, MS; Kimberly Warth, BS, MPA; and Bernard Kaminetsky, MD, FACP. The study was done by Applied Quantitative Sciences, Inc.
The abstract and web exclusive, “Personalized Preventive Care Leads to Significant Reductions in Hospital Utilization,” appears in the December 2012 issue of The American Journal of Managed Care.