Case Study: Johns Hopkins Community Health Partnership: A model for transformation

Key Design Considerations When Calculating Cost Savings for Population Health Management Programs in an Observational Setting

“…The program evaluation framework is demonstrated using the Medicaid results from the Johns Hopkins Community Health Partnership (J‐CHiP) community‐based PHM program (Berkowitz et al. ; Hsiao et al. unpublished data).…”

“…The full detail of the J‐CHiP initiatives has been described in the literature (Berkowitz et al. ; Hsiao et al. unpublished data).…”

“…Hospitalization risk is characterized further by an internally developed predictive modeling score based on ACGs, claims, laboratory results, and EMR data (Berkowitz et al. ; Hsiao et al. unpublished data).…”

“…The program evaluation framework is demonstrated using the Medicaid results from the Johns Hopkins Community Health Partnership ( J-CHiP) community-based PHM program (Berkowitz et al 2016;Hsiao et al unpublished data). Supported by a Health Care Innovation Award (HCIA) from the Center for Medicare and Medicaid Innovation (CMMI), the PHM program component of J-CHiP was designed to improve health and reduce spending for high-risk Medicaid and Medicare populations in East Baltimore.…”

“…The J-CHiP program was implemented at most primary care sites throughout East Baltimore between December 2012 and June 2013, focusing initially on Priority Partners Managed Care Organization (PPMCO) Medicaid members. The full detail of the J-CHiP initiatives has been described in the literature (Berkowitz et al 2016;Hsiao et al unpublished data).…”