Mobile Integrated Health
Commonwealth Care Alliance

Mobile Integrated Health

Mobile Integrated Health

Mobile Integrated Health Program

Addressing an important need for our members

Half of CCA's members have four or more chronic conditions. Four out of five members have some kind of behavioral health condition. As a result, our members go to the emergency room three times more often than the general population in Massachusetts. What’s more, nearly all of our members’ inpatient hospital admissions begin with an emergency department visit.

Knowing that going to the emergency room can be stressful and traumatic, we wanted to find a way to reduce avoidable ER visits and hospitalizations for our members. Our Mobile Integrated Health program does exactly this, in addition to reducing members' risk of complications and lowering healthcare costs. 


Integrated healthcare goes mobile

Originally a pilot under a waiver from the Massachusetts Department of Public Health, this program partners with EasCare Ambulance to send paramedics to respond to members’ urgent care needs right in their own homes.

These paramedics have specialized training, as well as diagnostic and care skills that exceed those of standard ambulance services. They work in close communication and collaboration with the CCA primary care teams who are familiar with our members. When sent to a member’s home, Mobile Integrated Health paramedics perform physical exams, conduct assessments, and provide care when medically appropriate.

Excellent outcomes – for members and for healthcare

  • More than 35% reduction in average cost of each member visit per month, down from $835 in 2015 to $536 in 2016
  • According to survey of 275 CCA members who received MIH care through July 2017, 84% were able to avoid an emergency room visit
  • 95% of MIH users through July 2017 agreed they knew everything they need to know about their diagnosis from the attending MIH paramedic, according to user survey
  • 100% of MIH users would be willing to use the service again in the future, according to user survey
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