Population Health Innovation Institute

Outcomes/Results

Since its inception in 2014, the Population Health Innovation Institute has worked cross functionally within MetroHealth as well as directly with patients, employers, payers and government entities to ensure better health management within the populations we serve.

Some of our key successes over the years include:

• Over 7 years, the percentage of MetroHealth’s patients affiliated with a value-based payer relationship grew from 5% to 75%.
• MetroHealth’s Accountable Care Organization achieved 5 consecutive years of Medicare shared savings, providing CMS with a savings of $37.7 Million over the same time period at an average of 8% savings per year. With the success of its ACO, MetroHealth launched on April 1, 2021 a new model of care delivery designed to further increase coordination of care between health care providers, and between providers and patients who qualify for and choose traditional Medicare. This full-risk capitated Medicare Direct Contracting Entity operates as Collaborative Care Partners (CCP). For more information, please see Collaborative Care Partners (CCP) website.
• Through our Red Carpet Care Program, the Population Health Innovation Institute improved outcomes for our high risk elderly population with single phone number for same day appointments and direct access to a Registered Nurse Care Coordinator. Red Carpet Care is an extensivist team program that cares for chronically ill and/or frail patients. It works in parallel with primary care to proactively manage chronic conditions in multiple ambulatory settings with individualized care plans. Successes for over 400 Red Carpet Care patients included emergency department visits reduced by 17% and inpatient utilization decreased by 13%.
• Care Coordination commitment to providing patients with the appropriate level of guidance and care has resulted in improved patient satisfaction scores and reduced number of ED visits and unplanned admissions. The Population Health Innovation Institute effectively worked with inpatient team members to lower the inpatient length of stay by 5%.  
• Value Based Managed Care Payer Collaborations continue positive trends of earned incentives on quality metrics, care coordination, and total cost of care results.
• Established the Institute for H.O.P.E.™, Serving as a catalyst of change for our health,  neighborhoods, economy and future, and both identifying and acting on the social determinants of health through effective programs, education, and research.
• Medicaid Expansion Waiver Healthplan, called MetroHealth CarePlus, offered health coverage to approximately 30,000 uninsured Cuyahoga County residents resulting in care and outcomes, and cost savings 30% below the government’s estimate.
• MSSP ACO/Legal Aid Partnership reflects a commitment by both entities to promote philanthropic work within the Cuyahoga County community and builds on the already successful partnership of the Community Advocacy Program.
• Growth continues in both patient attribution and membership enrollment for our risk-sharing partnerships, MetroHealth-centric health plan networks, and our Skyway product offerings.
• The Population Health Innovation Institute operates Doc2Go telehealth services for our patient population as well as employers/organizations and their constituents across the country.