Landmark’s Whole Patient Care Delivery Reduces Spend and Improves Outcomes

作为美国.S. population ages, the number of patients with multiple chronic conditions is increasing. The growth of this population is a major contributor to the rise in health care costs nationally. 在这些病人中, mobility challenges can limit the ability to visit physician offices proactively. This lack of routine and preventive care can drive these patients to seek care urgently from emergency departments, which may lead to a hospitalization and a skilled nursing facility stay.

全病人交付模式解决了许多挑战.

Landmark Health has developed innovative ways to team up with health plans and delivery systems to bring holistic care to patients with complex conditions. Through house calls, video visits, and phone support, Landmark provides:

•日常医疗护理;
•紧急访问;
•住院后探视;
•行为现金足球网哪个好支持;
•social工作服务;
•姑息治疗等.

Landmark supplements and augments the care patients receive from their primary care provider and specialists through mobile, 24/7纵向护理. Our medical model and technology platform facilitate collaboration, 循证护理, 以及准确的文档. We use proprietary predictive analytics to prioritize patient outreach and to identify and address gaps in clinical care and documentation.

Landmark’s whole-patient delivery system has proven effective in helping patients live healthier lives, while reducing unnecessary hospitalizations and medical costs.

典型的Landmark患者档案是什么样的?

Landmark患者的平均年龄是77岁, 有八种以上的慢性病, 而且医疗保健的利用率和花费都很高. Landmark patients often face social and behavioral barriers to managing their chronic conditions. Forty percent of our patients have two or more behavioral health conditions, 另有40%的人患有晚期肾病. 许多人每天都要服用12种甚至更多的处方药.

Landmark为其成员承担风险.

Landmark bears financial risk for over 160,000 patients. The risk structure and the amount of financial risk Landmark takes on depends on several factors including the number of eligible patients and population characteristics. 在很多情况下, Landmark assumes full downside risk for all eligible patients, 和我们的合伙人分享存款, and even guarantees our partner value starting in year one.

As a risk-bearing medical group, Landmark benefits when patients stay well at home. Through a payment-for-outcomes model, Landmark can deliver a higher level of personalized care. Landmark专注于整体, routine care and prevention results in fewer hospital admissions and patients who live longer, 更独立的生活.

综合临床团队提供全面护理.

Landmark基于价值的护理依赖于雇员, local multidisciplinary care teams to drive meaningful outcomes for patients spanning Medicare Advantage, 医疗补助计划, 双, 商业, 交换人口.

Landmark’s clinical teams include doctors and advanced care practitioners as well as behavioral health and other specialists. Landmark providers have extensive training to care for patients with complex needs and address long-term physical, social, 心理现金足球网哪个好问题. 这支当地的临床医生队伍填补了护理空白, 减少不必要的使用, 提高了治疗效果和患者满意度. Landmark为患者提供:

• In-home diagnostics and interventions to stabilize and treat in-place.
• Support from employed psychologists, psychiatric nurse practitioners and social workers.
• Universal screening, intervention, and treatment of behavioral health and substance use disorders.
• Consultations with Landmark dietitians and pharmacists to help manage patients’ care.
• Care coordination to ensure patients’ needs are met and their PCP and specialists are aligned.
• Aggressive symptom management and appropriate and timely hospice referral.

有意义的结果.

Landmark is compensated on the quality of our care, not the quantity of visits. We commonly help partners achieve five-star performance metrics from the ACA STARs program, 在他们最复杂的成员中. 我们的一些成果包括:

•证明, consistent improvement in Medical Loss Ratio (MLR) on all Landmark eligible patients of 20 – 25 percent.
• Material reduction in the mortality rates of 26 percent for Landmark patients.
• 20 percent reduction in medical costs for patients during the last 12 months of life.
•97%的Landmark患者对此有反应, “Landmark has helped me stay out of the hospital or emergency room.”

地标服务区.

Landmark正在积极扩张. Currently we serve patients in more than 50 urban and semi-rural communities within the following states: 阿肯色州, 加州, 堪萨斯, 肯塔基州, 路易斯安那州, 麻萨诸塞州, 密西西比州, 密苏里州, 新汉普郡, 纽约, 北卡罗莱纳, 俄亥俄州, 俄勒冈州, 宾西法尼亚, 罗德岛州, 德州, 和华盛顿.

If you are interested in learning more or exploring a partnership with Landmark, visit www.LandmarkHealth.org/合作伙伴s 并填写联系表. 我们会联系你的.