OPERATIONAL EXCELLENCE
Juniper's Connect4Life Model Shows Opportunity in Reducing Cost of Care
By Debbie Reslock
Juniper Communities’ integrated housing model, Connect4Life, has demonstrated potential cost reductions while providing a high quality of health care for their residents. The recently released analysis conduct-
W
ed by Anne Tumlinson Innovations (ATI) found the introduction of on-site primary care, when combined with lab services and pharmacy and residential support, achieves better clinical outcomes and suggests sub- stantial Medicare savings. By comparing the model’s data with the
broader population of Medicare beneficia- ries, as well as those with needs similar to Juniper’s residents, the study found Con- nect4Life likely contributes to lower hospital admissions for the high-need and high-cost population. Achieved through an ability to better manage care with more targeted in- terventions, the model integrates the range of services needed and addresses recent health policy changes. If Juniper’s hospitalization rate could
be achieved, the analysis projected that Medicare savings could be between $10 billion and $15.3 billion on annual aggre- gate hospital spending and between $2,912 and $4,472 on a per capita basis for the 3.4 million Medicare beneficiaries identified by ATI as comparable to Juniper residents.
Achieving Results Through High-Tech and High-Touch Communication Juniper’s Connect4Life also provides the resident and team with high-tech/high- touch communication. Data is shared through an electronic health record used by all the providers and allows access to real-time information.
28 SENIOR LIVING EXECUTIVE / ISSUE 5 2017
ith a hospitalization rate 50 percent lower than a compa- rable Medicare population,
COMPARING JUNIPER RESIDENTS TO THE MEDICARE POPULATION Juniper
All Medicare Beneficiaries
Population Size
Sample Size Average Age <65
65-74 75-84 85+
Average Number of ADLs 0 ADLs 1 ADLs 2 ADLs 3 ADLs 4 ADLs
Reports Cognitive Impairment Medicaid Eigible
50.04 million (2012)
10,547 N/A 17%
46% 26% 11%
0.87 83% 8% 4%
13% 2% 4%
18% Resident N/A 471
87 years 2% 6%
18% 73% 1.9% 18% 27% 18% 14% 22% 34% 0%
Medicare Benchmark Population
3.36 million (2012)
471
N/A 0%
36% 34% 30% 1.75 13% 39% 19% 16% 13% 30% 0%
UTILIZATION OUTCOMES Outcome
Hospitalization Rate (Events per person per year)
Emergency Room Use (Events per person per year)
Juniper Resident
0.30 0.52 MCBS Benchmark 0.65
(0.58-0.73) 0.55
(0.49-0.60)
All FFS Medicare Beneficiaries (95% C.I.)
0.28
(0.27-0.30) 0.43
(0.41-0.45)
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