Mobile Integrated Health Care Program Payers

Commercial and governmental insurance providers are responsible for ensuring that their beneficiaries receive high-value medical care, which is both patient-centered and cost-effective. MIH-CP is an innovative health care delivery model that provides patient-centered medical care while simultaneously working to reduce the cost of health care, with a goal of securing continued delivery of services for beneficiaries for many years to come. Establishing novel reimbursement programs for MIH-CP programs is essential to maintaining these vital services.

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How MIH-CP Supports the Quadruple Aim

The Institute for Healthcare Improvement’s (IHI) Triple Aim is a framework for how the health care system can approach optimal health system performance. The Quadruple Aim adds an additional focus on addressing health care provider burnout.

Improved Population Health

MIH-CP programs and practitioners actively improve the health of their patient populations through multiple means, including patient education, medication review, chronic disease management, preventive care and assistance with patient self-management. Delivery of these services takes place in a patient’s home, a point-of-view not available during traditional care delivered in a clinic or hospital setting.

Improved Experience of Care

MIH-CP programs and practitioners deliver patient-centered care, in the patient’s own home. This has resulted in average patient satisfaction survey ratings in excess of 95 percent, with reported improved scores on patient quality-of-life surveys.

Improved Per Capita Cost of Care

The 2017 NAEMT MIH-CP Survey noted that MIH-CP programs and practitioners reported 79 percent reductions in hospital readmissions and 75 percent reductions in EMS high-utilizer call volume. When calculated together with per-event ambulance transport, emergency department (ED) and hospital admission costs, this translates to each program having the potential to save its local health care system multiple millions of dollars annually.

Reduction of Workforce Burden

MIH-CP programs and practitioners work collaboratively with physicians to shift a portion of the physician’s non-clinical and clinical workload to non-physician providers, working under physician supervision and direction. Additionally, MIH-CP programs result in improved ED and Primary Care capacity, leaving physicians with more face-to-face clinical time with their patients.