IHIE provides member health plans and Medicare-chartered accountable care organizations with daily alerts on which covered patients were admitted to the hospital or visited the ED within the past 24 hours. During the six-month, nine-hospital test pilot, exchange officials analyzed the results of providing this information to a 320,000-member health plan.
During the trial, the health plan was able to intervene with at-risk patients and reduce the number of non-urgent ED visits by 53 percent and increase primary care office visits by 68 percent. This shift saved the health plan an estimated $2 to $4 million during the six-month period.
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