Telemed proves cost effective, says the Commonwealth Fund
While the nation’s healthcare costs continue to drain the economy, several forward thinking provider organizations are finding ways to turn the situation around with carefully thought out telemed programs. A recent report from the Commonwealth Fund highlights the cost effective approaches used by three “model citizens.”
The report looked at remote patient monitoring programs spearheaded by the Veterans Health Administration (VHA), Partners Healthcare in Boston and Centura Health at Home in Colorado. The programs used monitoring devices such as the Health Buddy system to capture and transmit biometric data, including blood pressure, heart rate, blood glucose and body weight to their clinicians, who then evaluated the data and coordinated care to reduce patients’ risk of deteriorating. The Health Buddy is four-button device that connects patients to their provider through a web-based application that reads the biometric data submitted by the end users.
At VHA, the organization’s Care Coordination/Home Telehealth (CCHT) program was able to reduce bed days of care by 40 percent, when compared to bed days before patients were enrolled in the program. Andrew Broderick from the Public Health Institute, a health research organization, said the “the cost of CCHT, at $1,600 per patient per year, compared favorably with the cost of the Veteran Health Administration’s usual home-based program of $13,121 per patient per year.” The telehealth cost savings were even more impressive when looked at in the context of commercially available nursing homes, where the average price tag is $77,745 per patient per year.
Put another way, between 2004 and 2007 the VHA remote monitoring program reduced the use of healthcare resources by more than 20 percent for 8,954 patients with diabetes, by 30.3 percent for more than 7,000 patients with hypertension and by 25.9 percent for more than 4,000 patients with congestive heart failure.
At Partners Healthcare, the integrated health system developed a Connected Cardiac Care Program (CCCP) that uses telemonitoring and education to help heart failure patients. The program has enrolled more than 1,200 patients and “consistently experienced an approximate 50% reduction in heart-failure related readmissions,” according to the Commonwealth Fund report. According to Partners’ in-house analysis, the program has saved more than $10 million since 2006.
The Commonwealth Report report broke down those numbers as follows: The telemonitoring program costs about $1,500 per patient. That included the cost of marketing, referral management, nurse support and technology; it saved $9,656 per patient in fewer hospitalizations. Total net savings: $8,155 per patient.