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InstED employee offers care to an older woman

instED® Mobile Integrated Health

Emergency department (ED) over-utilization continues to a be major factor contributing to rising healthcare costs. It is estimated that as much as 67% of all ED visits are avoidable.1 That’s why CCA created instED, an innovative and comprehensive mobile integrated health solution that responds to patients’ urgent care needs by providing high-intensity care in the comfort of the patient’s home. In 2020, instED expanded to provide service across the Commonwealth, receiving an emergency COVID-19 waiver from the Massachusetts Department of Health that allowed us to partner with all PACE programs state-wide. For the year, instED paramedics completed 4,500 in-home visits in response to the urgent care needs of over 2,221 patients—tripling our instED visits over 2019. In 2021, instED expanded its service area to include most of Massachusetts. Today the program is available to 98.9% of CCA members in the Commonwealth.

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Complex Care Coordination and Delivery

Just 5% of patients with chronic conditions account for 50% of all U.S. healthcare spending, and individuals with multiple chronic conditions cost up to seven times more than those with only one chronic condition.1 CCA leverages its highly regarded expertise in complex care to help risk-bearing entities improve their performance among these historically challenging populations. Our expertise goes beyond conventional care management to deliver the only care model designed—and proven effective—for patients with complex medical, behavioral health, and social needs. Since 2017 CCA has partnered with Mass General Brigham (MGB) to provide home-based care, care coordination, and access to enhanced services for patients that Medicaid Partners ACO deems at highest risk. In 2020 we once again extended our MGB partnership, providing nearly 17,000 encounters (in-person, telehealth, and telephonic) for 307 patients by year end. Our continuing collaboration has produced outstanding results for this complex population, significantly reducing emergency department (ED) and hospital utilization and lowering the overall cost of care.

1Stanton, M. W., & Rutherford, M. K. (2005). The high concentration of U.S. health care expenditures. Agency for Healthcare Research and Quality, 19, 06-0060. Retrieved from costs/expriach/

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