By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Modern Health CareModern Health Care
Notification Show More
Latest News
Geisinger solves behavioral health access problem with telemedicine
January 25, 2023
Vendor Notebook: new tools and acquisitions from OptumRx, ScionHealth, others
January 25, 2023
Hyndman Area Health Center cuts IT bill in half with the cloud
January 24, 2023
Geisinger at Home offers primary care to populations with chronic or complex conditions
January 24, 2023
What’s ahead for health IT policy and legislation in 2023 
January 23, 2023
Aa
  • Home
  • News
  • Physicians
  • Telehealth
  • Hospitals
  • Opioids
  • Opinion
  • Acquisitions
  • Fraud
  • Legislation
  • Home Health
Reading: Geisinger at Home offers primary care to populations with chronic or complex conditions
Share
Aa
Modern Health CareModern Health Care
  • Home
  • News
  • Physicians
  • Telehealth
  • Hospitals
  • Opioids
  • Opinion
  • Acquisitions
  • Fraud
  • Legislation
  • Home Health
Search
  • Home
  • News
  • Physicians
  • Telehealth
  • Hospitals
  • Opioids
  • Opinion
  • Acquisitions
  • Fraud
  • Legislation
  • Home Health
Have an existing account? Sign In
Telehealth

Geisinger at Home offers primary care to populations with chronic or complex conditions

Healthcare IT News
Healthcare IT News January 24, 2023
Updated 2023/01/24 at 3:33 PM
Share
SHARE

Geisinger CMO Dr. Jonathan Welch

Photo: Courtesy of Geisigner

Hospital at home for acute care became one of the lifeline programs for health systems during COVID-19, for providers that had the capacity and resources to take advantage of public health emergency waiver. 

Hospital at home programs for primary care are rarer and require a combination of factors to be successful for patients and providers.

Geisinger in Pennsylvania has the right combination of a population that needs at-home primary care, an integrated health plan and the resources to make the program successful at scale. Geisinger does not have an acute care at home program, but Geisinger at Home got started in 2018 to bring primary care services to patients who have complex or chronic conditions such as heart failure, emphysema or diabetes.

Currently, an estimated 2,000 of Geisinger Health Plan’s 600,000 members are enrolled. Since 2018, 7,600 patients have taken advantage of the program. Often they’re enrolled up to a year or longer.

“It is typically the most frail or complex patients medically and socio-economically,” said Geisinger CMO Dr. Jonathan Welch. “Three to five percent get involved in this program. We have an integrated care team going into patients’ homes.”

These teams assess for the social determinants of health. The program is not for patients who would otherwise be in the hospital, but it does keep them out of inpatient care and the emergency room, Welch said.

“Because we are getting patients great care, it keeps them out of the hospital,” he said. “We see it as essential for patient populations.”

You can’t see a patient’s refrigerator or medicine cabinet until you go into the home, he said. Clinicians often see discrepancies between what’s in the medicine cabinet and what medication the patient should be taking. They can assess social isolation and fall risks and link patients and family members to community resources for food, transportation and other needs. They can make sure the patient is up to date on vaccines, such as a flu shot.

“If somebody needs an air conditioner, we can address that,” Welch said.

The numbers show the results: A 23% drop in emergency visits and a 35% decrease in inpatient admissions. “We have seen a $400 per member, per month improvement in patient total cost of care,” Welch said, regarding those enrolled in Geisinger at Home

Telehealth plays a role. For instance after an in-person visit, checkups can be done a week later by telehealth.

“We brought specialization to primary care,” Welch said. “We make sure clinical and social supports are there front and center.”

WHY THIS MATTERS

Other hospitals and health systems offer primary care at home, Welch said, but in general, the programs are “few and far between.”

One reason is that a certain combination of factors need to exist for the model to work. First, health systems need a sizable population, over a geographic area that makes sense for clinicians to travel within.

Health systems need to be integrated or have a health plan that allows for value-based and risk-based contracts. The right financing model allows hospitals to reinvest in the program.

“The clinical integration is one essential element,” Welch said, “to have total cost of care responsibility.”

Also, a hospital must develop clinical models that can diagnose for the social barriers to health. “There is a virtuous cycle,” Welch said. “This is the future for engaging patients, having a forward-facing model.”

THE LARGER TREND

Primary care has become competitive as players other than traditional healthcare providers enter the field.

The “retailization” of healthcare is expected to continue and grow as pharmacies and others such as Amazon offer a convenient alternative to traditional primary care.

Twitter: @SusanJMorse
Email the writer: SMorse@himss.org

You Might Also Like

Geisinger solves behavioral health access problem with telemedicine

Vendor Notebook: new tools and acquisitions from OptumRx, ScionHealth, others

Hyndman Area Health Center cuts IT bill in half with the cloud

What’s ahead for health IT policy and legislation in 2023 

Three 2023 telemedicine trends that advance the ‘new normal’ in healthcare

Healthcare IT News January 24, 2023
Share this Article
Facebook TwitterEmail Print

Follow US

Find US on Social Medias
Facebook Like
Twitter Follow
Youtube Subscribe
Telegram Follow

Weekly Newsletter

Subscribe to our newsletter to get our newest articles instantly!

[mc4wp_form]
Popular News
News

An Estimated 87 Percent of Inpatient Psychiatric Facility Claims With Outlier Payments Did Not Meet Medicare’s Medical Necessity or Documentation Requirements

OIG OIG April 13, 2020
Israeli Investigators Find COVID-19 Vaccines Cause Side Effects: Leaked Video
6 Pack Science: A Guide to Help You Get a 6 Pack
Ohio Made Capitation Payments to Managed Care Organizations for Medicaid Beneficiaries With Concurrent Eligibility in Another State
New Mexico’s Monitoring of Childcare Providers Generally Ensured Provider Compliance With State Criminal Background Check Requirements at 30 Childcare Providers Reviewed
- Advertisement -
Ad imageAd image
Global Coronavirus Cases

Confirmed

0

Death

0

More Information:Covid-19 Statistics

©Your Health Wire. All Rights Reserved.

  • Home
  • News
  • Physicians
  • Telehealth
  • Hospitals
  • Opioids
  • Opinion
  • Acquisitions
  • Fraud
  • Legislation
  • Home Health

Removed from reading list

Undo
Welcome Back!

Sign in to your account

Lost your password?