Healthy Aging Brain Center improved care coordination and produced net savings

Health Aff (Millwood). 2014 Apr;33(4):613-8. doi: 10.1377/hlthaff.2013.1221.


Over the past two decades the collaborative care model within primary care has proved to be effective in improving care quality, efficiency, and outcomes for older adults suffering from dementia and depression. In collaboration with community partners, scientists from Indiana University have implemented this model at the Healthy Aging Brain Center (HABC), a memory care clinic that is part of Eskenazi Health, an integrated safety-net health care system in Indianapolis, Indiana. The HABC generates an annual net cost savings of up to $2,856 per patient, which adds up to millions of dollars for Eskenazi Health's patients. This article demonstrates the financial sustainability of the care processes implemented in the HABC, as well as the possibility that payers and providers could share savings from the use of the HABC model. If it were implemented nationwide, annual cost savings could be in the billions of dollars.

Keywords: Cost of Health Care; Elderly; Health Spending; Long-Term Care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cognitive Dysfunction / economics
  • Cognitive Dysfunction / therapy*
  • Continuity of Patient Care / economics
  • Continuity of Patient Care / organization & administration*
  • Cost Savings / economics
  • Cost Savings / methods*
  • Delivery of Health Care, Integrated / economics
  • Delivery of Health Care, Integrated / organization & administration
  • Dementia / economics
  • Dementia / therapy*
  • Depression / economics
  • Depression / therapy*
  • Female
  • Health Services for the Aged / economics
  • Health Services for the Aged / organization & administration*
  • Humans
  • Indiana
  • Male
  • Models, Organizational
  • Quality Improvement / economics
  • Quality Improvement / organization & administration