October 28, 2015
Health Partners Plans Announces Findings of Enhanced Baby Partners Prenatal Program
Program enhanced through CMS Healthcare Innovation Award
Preliminary results demonstrate healthier-weight babies, lower costs, improved care
Philadelphia, PA — Today, Health Partners Plans (HPP) announced preliminary results of its enhanced Baby Partners program that resulted in more babies born at healthier weights and lower costs associated with deliveries.
HPP’s Baby Partners program optimizes the health outcomes of moms and babies through proactive case management, outcomes-based incentives, special support for at-risk pregnancies and Doula services. HPP enhanced the program through a 3-year Health Care Innovation Award (HCIA) sponsored by the Centers for Medicare and Medicaid Services (CMS) in partnership with Finity, Inc. Services added through the HCIA included Finity’s population health engagement and management system that allowed for a personalized web portal, health alerts, text messages, incentives management, engagement outreach, peer mentor counseling and results measurement through a closed-loop platform.
The HCIA supported new healthcare models designed to lower costs by improving health outcomes for HPPs members across the Greater Philadelphia area. Many of the same components that were tested successfully with Health Partners Plans are now being used to implement the first completely portable wellness and incentive system for a state-wide Medicaid demonstration project.
“We are proud to be part of a select group of healthcare innovators that are using new technology and peer-level member outreach to create a high quality, more cost effective healthcare model. The HCIA allowed us to test an integrated approach to reducing adverse birth outcomes among our Medicaid beneficiaries,” says William S. George, HPP president and CEO. “The preliminary results show that our Baby Partners program is improving the health of our Medicaid moms and babies, while also lowering health care costs.”
Preliminary data revealed that the odds of delivering a low weight baby among Baby Partners participants was approximately 14 percent lower compared to non-participants. Also, participants had a higher rate of adhering to preventive care guidelines. In addition, data showed that the average cost difference of babies born to participating moms was more than $100 less per member per month than those that did not participate in the program, which equated to a savings of nearly $1.9 million for the first six months for babies born to participant moms. “The HCIA allowed us to implement one of the first truly closed-loop systems in the managed care sector,” said Deborah Stewart, president and CEO of Finity. “This system tracks all HPP member engagement and encounters by medium and behavior, and measures the effectiveness in terms of ROI, quality metric improvements and behavior change.”
Additional results for the Baby Partners program and the HPP diabetes and hypertension programs sponsored under the HCIA will be published as soon as data becomes available.
The project described in this report was supported by Grant Number 1C1CMS331034 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies. The research presented here was conducted by the awardee. Findings might or might not be consistent with or confirmed by the independent evaluation contractor.
About Finity Inc.
Finity is a leading provider of systems-based technology and engagement solutions for State Medicaid agencies, public and private health insurance companies, and hospital systems across the country. Finity received a Health Care Innovation Award to use integrated technology and services to improve the health and lower the costs of Medicaid Plan members in Philadelphia. Finity was also selected as the incentive and engagement technology provider for the first completely portable population health management and incentive system for a state Medicaid demonstration project. Learn more: www.finity.com.
ABOUT HEALTH PARTNERS PLANS:
Nationally recognized for its innovations in managed care, Health Partners Plans consistently receives high ratings for member and provider satisfaction and is one of the highest rated Medicaid plans in Pennsylvania according to National Committee for Quality Assurance’s (NCQA) Medicaid Health Insurance Plan Ratings 2015-2016. Health Partners Plans is a not-for-profit managed health care organization serving more than 247,000 members in the Greater Philadelphia region. It provides a broad range of health coverage options through Health Partners Medicare, Health Partners (Medicaid) and its KidzPartners (Children's Health Insurance Program) plan. Founded 30 years ago, Health Partners Plans is one of the few hospital-owned health plans in the country. Learn more about how Health Partners Plans is “doing it right” at HealthPartnersPlans.com, twitter.com/HPPlans and facebook.com/healthpartnersplans.
Monet T. Irving
Manager, Corporate Communications