September 25, 2017 Media

Intensive Outpatient Care Program: A Care Model for the Medically Complex Piloted by Employers

The Commonwealth Fund recently published a case study on the Intensive Outpatient Care Program (IOCP). This Pacific Business Group on Health pilot program focuses on helping people with multiple chronic conditions get the care they need in a primary care or outpatient care setting.

The program was originally piloted with Boeing, California Public Employees’ Retirement System (CalPERS) and Pacific Gas and Electric Company (PG&E). PBGH then received a grant from the Centers for Medicare and Medicaid Innovation (CMMI) to expand the program into the Medicare population. The pilot has been very successful in both the public and private sector.

KEY TAKEAWAYS

  • The Pacific Business Group on Health’s Intensive Outpatient Care Program (IOCP) is a multidisciplinary team-based model that addresses patients’ medical, behavioral, and social needs, with care coordinators at the heart of the program.
  • IOCP has reduced costs among commercially insured, medically complex patients by up to 20 percent.
  • External analysis of a two-year IOCP study showed improvements in patient activation, mental health, and physical functioning

RESULTS

An actuarial analysis by Milliman shows reduced cost of care. Specifically, the program achieved a:

  • 3.6 percent increase in patient engagement
  • 33 percent reduction in depression symptoms
  • 3.4 percent improvement in mental health functioning
  • 4.1 percent improvement in physical health functioning
  • 21 percent reduction in the cost of care for high-risk patients enrolled for at least nine months