Mobile Integrated Healthcare Intervention and Impact Analysis with a Medicare Advantage Population

Popul Health Manag. 2018 Oct;21(5):349-356. doi: 10.1089/pop.2017.0130. Epub 2017 Dec 14.


Mobile Integrated Healthcare (MIH) is a patient-centered, innovative delivery model offering on-demand, needs-based care and preventive services, delivered in the patient's home or mobile environment. An interprofessional MIH clinical team delivered a care coordination program for a Medicare Advantage Preferred Provider Organization that was risk assigned prior to intervention to target the highest risk members. Using claims and eligibility data, 6 months of pre-program experience and 6 months of program-influenced experience from the intervention cohort was compared to a propensity score-matched comparison cohort to measure impact. The intervention led to a reduction in inpatient and emergency department utilization, resulting in net savings amount totals of $2.4 million over the 6 months of the program. After accounting for the costs of implementing the program, the intervention produced a return on investment of 2.97. Additionally, high patient activation and experience lend strength to this MIH intervention as a promising model to reduce utilization and costs while keeping patient satisfaction high.

Keywords: care management; cost of care; elderly; intervention; population health.

Publication types

  • Observational Study

MeSH terms

  • Aged
  • Delivery of Health Care, Integrated* / economics
  • Delivery of Health Care, Integrated* / methods
  • Female
  • Health Care Costs / statistics & numerical data*
  • Humans
  • Male
  • Medicare Part C / economics*
  • Mobile Health Units / economics*
  • Population Health Management
  • Retrospective Studies
  • United States