PopHealth Week June 3 – Sun Health Care Transitions Program


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Listen to a recording of the show with Jennifer Drago here:

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PopHealth Week airing Wednesday June 3 at 12 pm eastern will feature Jennifer Drago, EVP of Population Health at Sun Health. This week’s show will focus on some of the innovative programs  that Sun Health offers in the seniors market including their Care Transitions  Program which has a CMS Community-based Care Transitions Program       (CCTP) contract. CMS just renewed the Sun Health CCTP contract and  increased the number of patients to be managed.

The CCTP  “tests models for improving care transitions from the hospital to other settings and reducing readmissions for high-risk Medicare beneficiaries.” There are currently 72 sites participating in the CCTP pilot.

Per CMS:

  • Approximately 2.6 million seniors, or 1 in 5 are readmitted within 30 days
  • The cost of these readmissions is over $26 billion per year
  • The goal is to reduce readmission 20% per year
  • The program is to run for 5 years
  • The budget was estimated at $300 million over 5 years
  • To date 29 of the total 101 CCTP-funded sites have withdrawn or been ended

The CMS First Annual Report stated that of the 48 programs started in 2012 only four programs made statistically significant gains in reducing the ratio of readmissions to discharges from the participating hospitals.

But there is more to this story.

As with other CMS programs there are some concerns regarding the study methodology. The argument against the current methodology, which measures readmissions within 30 days as a percent of discharges may penalize hospitals, or communities that have worked to reduce hospital discharges in total. Because of the reduction in discharges, these initiatives may not show a reduction in 30 day readmits as a percent of discharges but would better reflect this changes by looking at a population based measure of readmissions.

http://www.medicaringcommunities.org/medicaring-blog-cms-cctp-metrics-have-seious-flaws/

http://medicaring.org/2014/12/16/protecting-hospitals/

http://www.n4a.org/blog_home.asp?display=16

Join us at PopHealth Week this Wednesday at 12:30 eastern as we discuss Sun Health and their innovative approach to Senior Health, Care Transitions and the CCTP program. Remember you can always listen download the show later if you can’t make the live broadcast.

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