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Case study

Adaptive strategy for high-acuity home-based healthcare delivery

Phil Mitchell and Christi Mccarren
Management in Healthcare: A Peer-Reviewed Journal, 7 (2), 121-133 (2023)
https://doi.org/10.69554/GQJJ1794

Abstract

Patient care is rapidly shifting into the home. Based on a survey of physicians who serve predominantly Medicare fee-for-service (FFS) and Medicare Advantage (MA) patients, the global management consulting firm McKinsey and Company estimates that approximately 25 per cent (or US$265 billion) [Bestsennyy, O., Chmielewski, M., Koffel, A., Shah, A. and McKinsey and Company, (2022), ‘From facility to home: How healthcare could shift by 2025’, 1st February, available at: https://www.mckinsey.com/industries/ healthcare-systems-and-services/our-insights/from-facility-to-home-how-healthcarecould- shift-by-2025 (accessed 5th August, 2022)] of the total cost of patient care could shift to the home. This shift is being propelled by payers, an ageing population, consumer preference and technological innovation. Payers have realised the cost savings opportunity of treating patients in the home. This is evidenced by large payer organisations investing in resources internally and externally in organisations that are elevating the acuity of care in the home. With approximately 10,000 Americans [United States Census Bureau, (2019), ‘By 2030, all Baby Boomers will be age 65 or older’, 10th December, available at: https://www .census.gov/library/stories/2019/12/by-2030-all-baby-boomers-will-be-age-65-or-older.html (accessed 5th August, 2022)] ageing into Medicare every day and seniors preferring to receive care in the home, the market will continue to grow for years to come. Improvements in both the capability and cost of technology are helping to enable higher acuity care to be performed in the home. The pandemic accelerated the movement by compelling CMS to institute the hospital at home waiver, spurring significant investment in high-acuity home care platforms, increasing payer openness to reimburse for high-acuity home care services, and increasing provider and patient comfort with these care options and associated technology, as patients avoided traditional healthcare facilities early in the pandemic. This paper discusses how healthcare systems such as MultiCare are looking to innovate and improve health outcomes for patients in the location where they want it most.

Keywords: value-based care; healthcare at home; patient satisfaction; hospital level care at home

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Author's Biography

Phil Mitchell , MD, MS, is Chief Medical Officer, DispatchHealth. Dr Mitchell combines robust medical knowledge rooted in emergency medicine with a strategic whole-person health perspective to drive unprecedented growth in the evolving space of high-acuity healthcare in the home. As one of DispatchHealth’s earliest executive members, Dr Mitchell has been instrumental in developing its novel care delivery models. As a result, DispatchHealth is on course to build the world’s most extensive in-home care system to offer on-demand acute care and an advanced level of medical care for people of all ages in their environment. He is a subject matter expert in the company’s unique, home-based care models, cost savings modelling and innovative programme development, emphasising equity and health outcomes within groups of people. In addition, he is passionate about ensuring patient safety and delivering quality, evidence-based medicine.

Christi Mccarren , RN, MBA, is Senior Vice President, Retail Health and Community-Based Care, MultiCare. McCarren has over 40 years of healthcare experience, most of which have been in management and administrative roles. She served as the Senior Vice President for Retail Health and Community-Based Care for MultiCare Health System in Tacoma, Washington, prior to her retirement in July 2022. Currently, she is working as a senior executive consultant for MultiCare in expansion market development. McCarren’s mission is to transform the delivery system by providing greater access and care in the community.

Citation

Mitchell, Phil and Mccarren, Christi (2023, December 1). Adaptive strategy for high-acuity home-based healthcare delivery. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 7, Issue 2. https://doi.org/10.69554/GQJJ1794.

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cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 7 / Issue 2
© Henry Stewart
Publications LLP

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