Bending the Cost Curve and Improving Quality in one of America's Poorest Cities

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We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Kaiser Union City. The City of Camden, New Jersey, is one of America's poorest cities. For the last nine years, the Camden Coalition of Healthcare Providers has been working to build a citywide coalition to improve the quality, capacity, and accessibility of healthcare services while reducing costs. Driven by a homegrown patient-‐level database with nine years of longitudinal hospital claims records for every city resident, the Coalition has worked methodically to redesign how healthcare is delivered and target services to the most costly and complex patients. The Coalition efforts include a combination of primary care clinical redesign, a citywide Health Information Exchange, outreach projects targeted to the highest cost patients, patient education programs, and community organizing. The Camden Coalition worked with the NJ Chamber of Commerce, NJ Hospital Association, Citizen Action, and other partners to pass a Medicaid Accountable Care Organization (ACO) bill in August 2011. The bill will permit shared savings to be captured from reductions in ER and hospital use in Medicaid and the Camden Coalition will be the first Medicaid ACO in New Jersey. The Coalition was recently featured in an article by Dr. Atul Gawande in the New Yorker and on PBS Frontline. Dr. Jeffrey Brenner, MD is a family physician that has worked in Camden, NJ for the past twelve years. Dr Brenner owned and operated a solo-practice, urban family medicine office that provided full-spectrum family health services to a ...

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