MDVIP Study Proves Dramatic Reduction in Hospitalizations and Savings

Study Proves Dramatic Reduction in Hospitalizations and
$300 Million Savings for MDVIP’s Personalized Healthcare Model

Boca Raton, FL (January 3, 2013) — Patients under the care of MDVIP-affiliated primary care physicians experience a dramatic decrease in hospitalizations versus comparable non-MDVIP patients, according to a study profiled in an article published in the peer-reviewed The American Journal of Managed Care (December 2012).  This first-ever, published study done on hospital utilization in the MDVIP personalized healthcare model found a 79% reduction in hospital admissions for Medicare patients, and a 72% decrease for those with commercial insurance between the ages of 35-64 in MDVIP-affiliated practices.  As a result, MDVIP, the premier national network of primary care physicians, delivered to the healthcare system a one-year savings in excess of $300 million.

The study also found decreased MDVIP hospital readmission rates for Medicare members when compared to the 2009 readmission rates for non-MDVIP Medicare patients, for such conditions as acute MI (heart attack), CHF (congestive heart failure) and pneumonia.  MDVIP readmission rates are below 2% for these conditions compared to the national averages that range from a low of 16% to a high of 24%.

“The MDVIP model of personalized, preventive care with smaller practices allows the physician to take a more proactive rather than a reactive approach,” said Dr. Andrea Klemes, Medical Director of MDVIP.  “MDVIP-affiliated physicians have the time to focus on acute, chronic and preventive health issues, and this increased physician contact time results in improved outcomes for patients and ultimately lowers healthcare costs.”

The data also established that:

• Hospitalizations since 2006 have decreased as membership in MDVIP-affiliated practices has
increased.
• MDVIP had an 83% lower admission rate for elective admissions in 2010 than did patients in traditional
primary care practices.
• MDVIP had 49% fewer hospitalizations for avoidable admissions (including heart failure, diabetes and
pneumonia, for example), than did traditional primary care practices.
• MDVIP admissions for unavoidable hospitalizations (including angina and stroke, for example) were
lower by 63% when compared to the non-MDVIP population.
• MDVIP-affiliated practices had readmission rates for Medicare patients below 2% (MI at 0.5%, CHF at
0.8% and pneumonia at 1.4%).
• In 2010 alone, MDVIP saved $2,551 per patient due to decreased hospitalizations.

MDVIP-affiliated doctors perform a comprehensive annual wellness examination and advanced screenings on every patient to customize a plan of care that is closely monitored throughout the year.  Through the use of validated health risk assessments, MDVIP-affiliated physicians have a more thorough knowledge of the patient’s lifestyle, emotional well-being and medical history, allowing them to diagnose, treat and actually prevent disease in the doctor’s office rather than in a hospital.  In addition, MDVIP patients can reach their doctors 24/7, have little or no waiting time in the office and can get same-day or next-day appointments leading to higher levels of satisfaction in convenience.

“Most avoidable hospital admissions are attributable to chronic conditions.  Illnesses including diabetes and chronic cardiac diseases can potentially be prevented with timely care by a primary care physician, but they are becoming more and more typical of visits to a hospital,” Dr. Klemes continued. “Admissions for these types of diseases add to the soaring healthcare costs, which are some of the most expensive conditions for both Medicare and private insurance.  These conditions can be averted with appropriate preventive screening, better care, improved availability to effective treatment and coaching to implement healthy behaviors.  We are extremely proud of the results of this study.”

Highlights of the MDVIP Hospitalization Study include:

• By 2010, MDVIP hospital discharges for the Medicare population were 79% lower than the non-member
Medicare population, and this difference was shown to be trending up since 2006 (70% to 79%).  A
similar trend was seen in the non-Medicare population (49% to 72%).
• Elective, non-elective, emergent, urgent, avoidable and unavoidable admissions were all lower among
the MDVIP members compared to non-members for the years 2006, 2007, 2008, 2009 and 2010,
demonstrating consistent reductions.
• For elective hospital admissions, patients in MDVIP-affiliated practices had 83% fewer hospitalizations in
2010 than did patients in traditional primary care practices.  For elective admissions, the patient’s
condition permits adequate time to schedule the hospitalization.
• For non-elective hospital admissions, patients in MDVIP-affiliated practices had 56% fewer
hospitalizations than did patients in traditional primary care practices.  For non-elective admissions, the
patient’s condition does not permit adequate time to schedule the hospitalization (urgent or emergent).
• Urgent admissions were 42% lower for the MDVIP population than for the non-MDVIP population.
• For emergent admissions, MDVIP was 58% less than the non-MDVIP cohort.
• Readmission rates for Medicare patients in MDVIP-affiliated practices were 97%, 95% and 91% less
frequent than non-MDVIP Medicare patients for acute MI (heart attack), CHF (heart failure) and
pneumonia, respectively.

Researchers contributing to the study include: Andrea Klemes, DO, FACE; Ralph E. Seligmann, MD; Lawrence Allen, MD; Michael A. Kubica, MBA, MS; Kimberly Warth, BS, MPA; and Bernard Kaminetsky, MD, FACP.  The study was done by Applied Quantitative Sciences, Inc.

The abstract and web exclusive, “Personalized Preventive Care Leads to Significant Reductions in Hospital Utilization,” appears in the December 2012 issue of The American Journal of Managed Care.

Contacts

MDVIP, Inc.
Nancy Udell, 561-310-5455
nudell@mdvip.com
or
Maryann Palumbo, 718-680-6483
mpalumbo@aol.com

Hospitalization Reduction & How Concierge Medicine Is Saving $$$

Source: HPC’s 2010: Heal Thy Practice Conference

JANUARY 20th, 2011 – Independent analyses show clearly that concierge-models deliver superior clinical outcomes compared to conventional insurance-based practices. This is independent of the age, disease burden, or socioeconomic status of the patients. “When you have time to deal with the issues, you do better,” Dr. Lee stressed.

One recent study compared MDVIP practices in Florida with HMO-based practices in that state. The MDVIP doctors achieved an average total HEDIS compliance of 89.6%. The average for the top-performing 10% of HMO practices was 65%.

$79 Million Saved

A third-party evaluation of 2008 data showed that MDVIP patients had 61.3% fewer hospitalizations compared with similar patients in commercial insurance plans, and 74% fewer hospitalizations compared with Medicare patients of similar age, gender, and disease risk.

Plain and simple, MDVIP hospital utilization rates are lower, even when matching for demographic variables. In 2006, MDVIP practices had an average total hospitalization rate of 119.24 admissions per 1,000. In non-MDVIP matched practices, the rate was 226.5 per 1,000. On average, MDVIP patients had 107 fewer admits per 1,000 than people in standard insurance plans, a 47% reduction.

The Centers for Medicare & Medicaid Services lists conditions for which patients should never need hospitalization, among them: Uncontrolled Diabetes, Uncontrolled Hypertension, Decompensated CHF; Decompensated Asthma; Cellulitis; Community Acquired Pneumonia; Pyelonephritis; and Perforated Appendix.

The data show that preventable hospitalizations are lowered by 40% in MDVIP practices. MDVIP’s avoidable hospital rates average 16.6 admissions per 1,000 people. In standard insurance plans with comparable patient populations, the rate is 27.5 admits per 1,000. MDVIP’s hospital discharge rate in 2007 was roughly 105 per 1,000 members, versus 199 per 1000 members in standard insurance plans. Dr. Lee estimates that at its current small size, MDVIP is already eliminating over 9,000 hospitalizations per year, saving roughly $79 million in total health care expenditures. “This is such a beneficial program for the government!”

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