At Atrius Health, everything we do is focused on improving patients’ lives and health outcomes, and ensuring value by reducing the overall cost of care, aka Total Medical Expense (TME). As the Health Policy Commission kicks off the 2015 Healthcare Cost Trends Hearing on Monday, October 5th, Atrius Health is proud to highlight our performance in making healthcare more affordable while consistently demonstrating among the highest quality levels.
Public Reporting: The Center for Healthcare Information and Analysis (CHIA) has previously reported that Atrius Health is below market average health status adjusted TME (percentages noted are compared to 1.0 for the network average) for two of three commercial plans and has reduced costs with a third commercial plan:
We are very pleased that Atrius Health is now at or below market average TME with almost all payers, including Commercial, Medicare, and Medicaid health plans. Atrius Health also continues to reduce TME with Blue Cross Blue Shield of MA (BCBSMA) and our most recent contract with BCBSMA was designed to achieve market average TME.
Health Plan Reporting:
Tiering: Nearly all of the health plans and the Group Insurance Commission have recognized Atrius Health’s excellent performance in managing the cost of care by featuring our primary care providers as a tier 1 (i.e. lowest cost) provider. For consumers who have insurance with tiered co-pays, our performance means that they can see our providers while paying lower out-of-pocket costs.
Achieving these Results:
Atrius Health has achieved these spectacular results by taking better care of our patients. Our dedicated clinicians and staff work to keep patients out of the hospital when appropriate. We also reduce costs by coordinating care for our most frail patients and by keeping patients with chronic disease healthier. As a result, our utilization of emergency rooms, hospitals and drugs tends to be lower than average:
Atrius Health Care Model
Atrius Health deploys a population-based approach to provide the best possible care to all patients. Almost all primary care practices are certified at the highest Level 3 for Patient-Centered Medical Homes by the National Committee for Quality Assurance (NCQA). Our outstanding health information technology systems are recognized by HIMSS at the highest Level 7.
Atrius Health programs include:
Atrius Health’s President and CEO, Dr. Steven Strongwater, will be testifying at the hearing on October 6th.