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Am J Manag Care. RESEARCH (2012): “Personalized preventive care leads to significant reductions in hospital utilization.”

Am J Manag Care. 2012 Dec 1;18(12):e453-60.

Personalized preventive care leads to significant reductions in hospital utilization.

Author information

  • 1MDVIP, Boca Raton, FL, USA. AKlemes@mdvip.com

Abstract

OBJECTIVES:

To assess the impact of the MDVIP model of personalized preventive care on hospital utilization rates over a 5-year period.

STUDY DESIGN:

This study was a comparative hospital utilization analysis between MDVIP members and nonmembers using the Intellimed database from 5 mandatory reporting states (New York, Florida, Virginia, Arizona, and Nevada) from 2006 to 2010.

METHODS:

Hospital discharge rates per 1000 persons were calculated and comparisons were made between members and nonmembers by age (Medicare [>65 years] vs non-Medicare [35-64 years]) and year.

RESULTS:

Overall, MDVIP members were approximately 42%, 47%, 54%, 58%, and 62% less likely to be hospitalized relative to nonmembers for the years 2006, 2007, 2008, 2009, and 2010, respectively. By 2010, MDVIP hospital discharges for the Medicare population were 79% lower than the nonmember 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%). In addition, elective, non-elective, emergent, urgent, avoidable, and unavoidable admissions were all lower in the MDVIP members compared with nonmembers for each year.

CONCLUSIONS:

The MDVIP model of personalized preventive care allows the physician to take a more proactive, rather than reactive, approach; we believe this increased physician interaction is the reason for the lower hospital utilization and ultimately lower healthcare costs seen here.

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