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New Approach to Super-Utilizers: Free Housing

A Chicago hospital is experimenting with a new way of serving its most frequent uninsured ER visitors: arranging for free housing.
The University of Illinois Hospital has found that many of its most frequent ER patients, while suffering from numerous and chronic medical problems, turn to its ER for overnight accommodations during harsh weather. Under a pilot program, the hospital is spending $1000 a month to put its homeless super-utilizers into free housing.
iStock_000000522737XSmallWith overnight hospital stays for uninsured patients costing $3000, the program offers the potential for significant savings for the hospital. In addition to free housing, participating patients are assigned a case manager to help coordinate their health care needs.
Such patients can be found outside of places like Chicago that have occasionally harsh weather, and so-called super-utilizers frequent hospitals because of medical problems, not just harsh weather. In fact, about half of overall Medicaid spending is for just five percent of the program’s 55 million participants. Pennsylvania’s safety-net hospitals serve significant numbers of such patients.
Learn more about how the University of Illinois Hospital is attempting to meet the needs of its uninsured super-utilizers in this report from National Public Radio.

2016-07-06T06:00:42+00:00July 6th, 2016|Pennsylvania safety-net hospitals|Comments Off on New Approach to Super-Utilizers: Free Housing

Homeless Health Care Costs Driven More by Hospital Stays Than ER Visits

Extended hospital stays and not frequent visits to hospital emergency rooms constitute the greatest cost in caring for homeless Medicaid patients, a new analysis has found.
A review of 1100 homeless people served by the Boston Health Care for the Homeless Program found that while repeated visits to the ER do constitute a problem for caregivers, the cost of those visits is dwarfed by costs associated with the same patients spending long periods of time in the hospital.
According to the review, 30 percent of the group’s Medicaid costs were for hospital stays while only four percent were for ER services. The homeless frequently spend more time in the hospital because they are in such poor overall health.
In recent years, providers have focused much of their attention on frequent ER visitors – so-called “frequent flyers” or “super-utilizers” – but the experience of the Boston program suggests that conditions that lead to long periods of hospitalization among the homeless may need more attention as well.
iStock_000015640638XSmallBecause of where they are located, Pennsylvania safety-net hospitals serve far more homeless patients than the typical hospital.
For a closer look at the Boston program and what its leaders learned, see this Boston Herald article.

2016-06-01T06:00:44+00:00June 1st, 2016|Pennsylvania safety-net hospitals, Uncategorized|Comments Off on Homeless Health Care Costs Driven More by Hospital Stays Than ER Visits
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