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GRACE Team Care Approach in Managing High-Risk Medicare Populations


Apr. 29, 2015
Recorded Online

1PM Eastern

A new study on “Effective Management of High-Risk Medicare Populations” recently released by Avalere Health focused on ways for payers and providers to better manage the cost of high-risk Medicare beneficiaries – typically older adults with multiple chronic conditions and functional impairment. The study revealed that to be successful in this effort, health plans and physicians need to not only focus on treating a person’s medical condition but must also have strategies in place for managing a broad array of care needs across multiple settings.

The study cited the GRACE Team Care (Geriatric Resources for Assessment and Care of Elders) program from Indiana University School of Medicine to be among the nation’s most successful in effectively managing high-risk Medicare populations. First launched at Eskenazi Health in Indianapolis, today GRACE Team Care is also offered through the Medicare Advantage program of Indiana University Health Plans Inc. and is being successfully applied at several other health plans, medical groups and VA hospitals in select markets around the country. In a model presented in the study, GRACE produced annual savings for high-risk members of nearly $4,300 while producing an ROI per year for the health plan of 95 percent.

GRACE involves a team approach to managing a patient’s health, which has been proven to enhance quality of geriatric care in ways that optimize quality of life, and decrease excess healthcare use including avoidance of hospitalization and visits to the emergency department. GRACE may also prevent or delay the need for long-term nursing home placement by allowing seniors to stay in their homes with better support. The catalyst for the GRACE program is its support team, headed by a nurse practitioner and a social worker who support the primary care physician in fully addressing a patient’s health conditions and achieving a patient’s goal from the comfort of their own home. The GRACE team provides patients with specialized care for geriatric conditions (e.g., falls, depression and memory problems), healthcare education; medication management; and coordination of care between specialty physicians, the emergency department, hospitals and a broad array of community support services.

Please join Doctor Steven Counsell, Executive Director of GRACE Team Care program for a one hour examination of the GRACE Team Care Approach in Managing High-Risk Medicare Populations on Wednesday, April 29th, 2015 at 1PM Eastern.

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