Coastal is proud to share the impact of a recent collaboration focused on reducing avoidable emergency department (ED) utilization. By partnering with a managed care organization (MCO), we set out to better understand patterns of ED use and identify opportunities to deliver more proactive, coordinated care.
Through targeted interventions—including enhanced care coordination, patient education, and improved access to preventative services—we were able to address many of the underlying drivers of avoidable ED visits and reduce hospital readmissions for members. The results have been both meaningful and measurable.
For example, in one recent collaboration with an MCO, we saw a 37% reduction in the number of emergency department visits per member compared to baseline. This significant decrease highlights the value of a more integrated, patient-centered, and value-based approach to home-based personal care services.
Reducing unnecessary ED utilization means patients are receiving the right care, at the right time, in the right setting. It also alleviates strain on emergency services and contributes to a more efficient healthcare system overall.
This partnership underscores Care Advantage’s ongoing commitment to innovation, collaboration, and delivering high-quality value-based care benefits that truly make a difference in people’s lives.
