POPULATION HEALTH ANALYTICS

With the ACG System, the Johns Hopkins Medicare Advantage Plan was able to pinpoint those most at-risk during COVID-19 pandemic

January 4th, 2021
 |  
COVID-19  |  
Risk Stratification & Population Segmentation
With the ACG System, the Johns Hopkins Medicare Advantage Plan was able to pinpoint those most at-risk during COVID-19 pandemic

The elderly population is one of the most at-risk for complications from COVID-19. The pandemic has made even routine things like managing chronic conditions, refilling prescriptions, and attending regular medical appointments seem like insurmountable challenges for the elderly. This situation was certainly reflected in Johns Hopkins HealthCare’s 25,000 Medicare Advantage plan members. However, thanks to the ACG System, Johns Hopkins HealthCare turned this seemingly overwhelming problem into a focused, workable solution.

The Johns Hopkins HealthCare team knew that a pandemic waits for no one—they had to act, and quickly. The ACG System rapidly produced the essential data they needed to lock in a strategy that prioritized their patients’ needs. This data was based on risk markers (age, underlying health conditions, and health history, to name a few). The ACG System revealed that 60% of Medicare Advantage members had an age and at least one underlying condition that put them at higher risk for complications related to COVID-19. Through use of the ACG System, JHHC was then able to continuously refine the data to generate various levels of risk.

Immediately, Johns Hopkins HealthCare mobilized a group of care managers, care management coordinators, and community health workers, who contacted over 4,500 Medicare Advantage members—essentially, the top 20% of the risk pyramid. Of all members who received one of these calls, 52% engaged in a discussion to assess what barriers they were facing–whether getting a prescription refilled, making a routine appointment, or managing a chronic condition. This outreach was crucial in helping Johns Hopkins HealthCare provide uninterrupted healthcare to their most vulnerable patients during a crisis. Ultimately, with the help of the ACG System, Johns Hopkins HealthCare mounted a rapid, focused response to the pandemic that provided essential care to the people who needed it most.

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