Introduction
With a predicted spike in uncompensated care by $278 billion for uninsured populations over the next decade, health systems need proactive strategies now. Regional One Health's ONE Health program demonstrates how targeted interventions for high-utilizing uninsured patients can simultaneously bend the cost curve and improve outcomes.
Read our latest case study that explores their approach to complex care management, leveraging financial alignment and strategic staffing models for sustainability.
Case Study Snapshot
Footprint: Safety net system headquartered in Memphis, TN; 1 hospital & 5+ outpatient and primary care facilities across West Tennessee
Timeframe: 2018-present
Challenge: In 2016, 46% of patients visiting the ED were uninsured, costing the system $35M in uncompensated care for this population. The top 5% of uninsured utilizers accounted for $20M in uncompensated care.
Solution: ONE Health, a voluntary complex care program targeting uninsured patients with 10+ ED visits or 4+ admissions over 2 years. Supports closure of patient-defined health and social needs goals through nurse-led teams and Community-Based Organization (CBO) partnerships.
Key Internal Stakeholders: Chief Integration Officer, Chief Philanthropy Officer, Chief Finance Officer