Retrospective Data Analysis of VitalCare Targeted Population Management on Scott and White Chronically Ill Beneficiaries
Retrospective Data Analysis of VitalCare Targeted Population Management on Scott and White Chronically Ill Beneficiaries
New payment methods such as Accountable Care Organization (ACO's) and medical homes
 facilitate are new models for providers to deliver cost effective, quality patient outcomes.
 Integrated Care Coaching (ICC) is a healthcare delivery model combining telephonic
 interventions with an intelligent information technology platform that offered validated
 protocols and patient outcomes tracking. Health Integrated, Inc. has developed a validated
 program of Integrated Care Coaching (ICC), which was branded as "VitalCare", and implemented
 with over 7,000 members of the Scott and White Health Plan in Texas, would reduce healthcare
 costs/achieve a return on investment (ROI), improve clinical outcomes, and be satisfying for
 participants.
A prospective, pre-post historical control design trial with a concurrent control group
 cost/satisfaction analysis with a retrospective clinical study was undertaken with adult,
 Scott and White Health Plan (SWHP) patients with chronic illnesses. From 2007 to 2010, a
 total of 7,411 ICC and 10,148 control patients participated. Variables were costs, return on
 investment (ROI), iterative Patient Health Questionnaire (PHQ)9 scores, and satisfaction.
Inclusion Criteria:

 -  18 years or older

 -  Having one or more of 21 chronic conditions, including those with depression and
 multiple chronic comorbidities.

 Exclusion Criteria:

 -  Presence of Major Cancer, HIV, or ESRD in either the baseline or measurement periods

 -  Claims in excess of $100,000 in either baseline or intervention period.

 -  Claims for long term care or hospice in either baseline or intervention period.