What is the expanded reimbursement for providers?
30 July 2019 - 4:30pm
Clinicians have very high NoShow rates for children with high risk asthma. This means they often don't show up for appointments when the intent was to improve their asthma control through testing, teaching and other outpatient services. Instead the high risk child ends up in the emergency room or inpatient with high cost. If community support (school nurses, home visitors, CHWs) increases the return visit rate then outpatient clinicians realize more income and can devote more time and resources to improving asthma care. Research shows these patients have substantially lower total health care cost. So money spent on outpatient care has it's own ROI for the insurer. The goal is the right kind of care and the economics of asthma costs supports MORE outpatient and preventive services. Hope that helps.