The implementation of this new model reduced the overall cost for the insurance company by 24.7%, with a Net Promoter Score of 94.
NEJM Catalyst
Pedro Vanalle Ferrari, MD, Fábio Andre Nanci Izidro Gonçalves, MD, MPH, MBA, Pier Francesco De Maria, PhD, Bruno Torres Herrerias, MD, Carolina Pelegrini Barbosa Gracitelli, MD, PhD, and Flavio Eduardo Hirai, MD, PhD, MPH
March, 2022
Summary
Efforts to determine the true costs of health care and then integrate cost-control measures as part of a strategy to deliver high-quality, value-based care remain a challenge to health care providers and managers.
The Vera Cruz Ophthalmology clinic was launched by the Hospital Care Group, an integrated health system that includes the Vera Cruz Association, a health insurance company.
A value-focused, single-site clinic in Campinas, Brazil, was designed to address major challenges regarding expenditures in ophthalmology.
The concentration of all eye care in one integrated practice unit and the use of clinical guidelines allowed
- a reduction in the number of visits
- and examinations compared with the period before the launch.
Standardized care using a customized electronic medical record platform allowed the evaluation of clinical outcomes.
The implementation of this new model reduced the overall cost for the insurance company by 24.7%, with a Net Promoter Score of 94.
The implementation of this new model reduced the overall cost for the insurance company by 24.7%, with a Net Promoter Score of 94.
Originally published at https://catalyst.nejm.org on February 16, 2022.
TAGS: Integrated Care System; Value Based Health Care
