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Improving Outcomes with Integrated Remote Monitoring

A key challenge for health plans is increasing utilization of health care services among members with chronic disease. Care teams must identify appropriate interventions that help prevent unnecessary emergency department and hospital utilization, a common occurrence among chronically ill patients. Remote patient monitoring has shown efficacy in the literature to improve health outcomes and reduce utilization and cost among chronically ill patients. An optimal program design would incorporate a robust case management program and in-home clinical support, along with remote patient monitoring technology. This session will focus on the results of a non-randomized pilot program that was effective in reducing utilization and improving outcomes among heart failure patients. The study resulted in slowed disease progression in the pilot group, as measured by retrospective risk scores; reduced hospital admissions; improved patient experience; and substantial per-participant, per-year cost savings. Attendees will learn about best practices for integrating remote monitoring into a case management program and how to distinguish attributes that contribute to patient engagement. They will also hear how the experience of the pilot informed an integrated case management model.

Objectives:
1.  Describe best practices for integrating remote monitoring into a case management program.
2.  Describe the outcomes of the remote monitoring pilot.
3.  Identify next steps in population identification beyond a pilot that would benefit from integrating remote monitoring into a case management program.