Helping Participants Understand Performance

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Presentation transcript:

Helping Participants Understand Performance Sarah Stout, Managing Consultant, The Lewin Group

Enrollment Success Depends on Partnership & Transparency CBOs WITH Access to Census Data in All Hospitals (n=35) CBOs WITHOUT Access to Census Data in All Hospitals (n=37) *72 teams reporting on their access to daily census as of March 2013

Target (New) Monthly Enrollment CCTP Collaborative 46 Teams Cohort Number of Hospitals Discharges/ Month* Target (New) Monthly Enrollment Model 1-7 254 65,905 18,050 (18,391) N/A Based on Data from: Aug-Oct 2014 (June 2015 QMR) and Feb-April 2015 (List Bill Submissions) Enrollment & Footprint CCTP Enrollees (average monthly) Aug-Oct 2014 Feb-Apr 2015 15,539 18,312 Actual Footprint (CCTP enrollees/discharges) 23.6% 26.5% Target Footprint (target monthly enrollment/discharges) 27.4% 27.3% % of Target Enrollment 86.1% 97.1% All-Cause FFS Readmit Rate Baseline All-Cause FFS Readmission Rate (Rolling) 20.2% All-Cause FFS Readmission Rate Program-to-Date 19.3% 19.5% % Change in All-Cause FFS Readmission Rate -4.8% -3.8% CCTP Program CMS-HCC Risk Score 1.7 1.8 Readmission Rate Among CCTP Enrollees 14.2% 15.0% *Medicare FFS discharges are not reported in Quarterly Monitoring Reports but exclude deaths and Part A-only beneficiaries

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