Impact of Referring High-Risk Patients to Intensive Outpatient Primary Care Services: A Propensity Score-Matched Analysis.

ABSTRACT:

Background

Many healthcare systems have implemented intensive outpatient primary care programs with the hopes of reducing healthcare costs.

Objective

The Veterans Health Administration (VHA) piloted primary care intensive management (PIM) for patients at high risk for hospitalization or death, or "high-risk." We evaluated whether a referral model would decrease high-risk patient costs.

Design

Retrospective cohort study using a quasi-experimental design comparing 456 high-risk patients referred to PIM from October 2017 to September 2018 to 415 high-risk patients matched on propensity score.

Participants

Veterans in the top 10th percentile of risk for 90-day hospitalization or death and recent hospitalization or emergency department (ED) visit.

Intervention

SUBMITTER: Chang ET 

PROVIDER: S-EPMC11861449 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature