ACHP annual report highlights unique approaches to keeping patients healthy & out of the hospital
Washington, D.C. (November 10, 2023) – When people with diabetes follow their prescribed medical regimens, they are at least 30 percent less likely to wind up in the emergency room and at least 24 percent less likely to be admitted into the hospital, according to a new report from the Alliance of Community Health Plans (ACHP). This equates to more than $1,000 in savings for health plans every year for every diabetic patient who takes their medication properly. Outcomes and savings are even more pronounced for individuals with hypertension or high cholesterol. Considering only half of prescriptions for chronic conditions are taken as intended, improvements in adherence stand to save as much as $300 billion in medical costs every year.
As part of a commitment by its Board of Directors in Health Care 2030: ACHP’s Roadmap to Reform, ACHP is pleased to spotlight its members’ visionary programs that result in healthier patients, fewer hospital visits and lower health care spending. These programs lead to better outcomes and emphasize the impact of coordinated care and coverage that is unique to the payer-provider aligned model of care ACHP members represent.
“This year’s Report on Affordability confirms what should already be clear to all of us,” remarked Ceci Connolly, ACHP’s president and CEO. “When people with chronic conditions take their medications as prescribed, they remain healthier and stay out of the hospital. As a result, those patients save money, as do their health plans, their employers and taxpayers nationwide.”
ACHP members have shown – once again – that they are innovative leaders focused on keeping patients out of the hospital, ultimately leading to savings across the entire health system. Key highlights from ACHP’s 2023 Report on Affordability include the following:
- A 12 percent increase in adherence to prescribed diabetes medicine by patients participating in a targeted health coaching program
- 90 percent of Medicare patients take their hypertension medications when following a pharmacy medication adherence program
- A 14 percent reduction in hospital readmissions amongst all patients participating in a Hospital to Home program
The 2023 Report on Affordability includes case studies of ACHP members’ novel approaches to drive higher quality and personalized care to improve medication adherence and lower health care spending. ACHP members have higher medication adherence success rates than the rest of the industry, creating a virtuous cycle of better health outcomes and lower costs. ACHP and its members are committed to providing affordable care, using fewer taxpayer dollars and producing healthier outcomes.
For more information on ACHP and its members’ commitment to affordable, accessible and high-value health care, read the Health Care 2030: ACHP’s Roadmap to Reform report.
The Alliance of Community Health Plans (ACHP) represents the nation’s top-performing nonprofit health companies, which serve tens of millions of Americans across nearly 40 states and D.C. ACHP member plans collaborate with providers on high-quality coverage and care — leading the industry in practical reforms, including MA for Tomorrow, our vision for the future of Medicare Advantage.
ACHP is the voice of a unique payer-provider partnership model advancing proven solutions that deliver better value for patients, employers and taxpayers. Contact us for case studies and data about member innovations and results.