Clinics that take more responsibility for patients' health and health habits outperformed other primary care clinics and saved Minnesota more than $1 billion over five years, a University of Minnesota analysis concluded.
The study, released Tuesday, validated Minnesota's decision in 2008 to offer additional funding to clinics that become certified "health care homes," meaning they manage patients' overall care and provide extra support to chronically ill patients.
A patient receiving primary care from a health care home was less likely to need a lengthy hospital stay between 2010 and 2014, and rang up only $7,216 in medical expenses per year — 9 percent less than a patient receiving traditional primary care.
"You save one hospitalization, you save a lot of resources," said Dr. Ed Ehlinger, commissioner of the Minnesota Department of Health.
Minnesota went "all in" on the concept of health care homes before it became a staple piece of the federal Affordable Care Act, said Douglas Wholey, the health policy professor who led the analysis.
Minnesota now has 361 certified health care homes, or 54 percent of all primary care clinics in the state.
Compared to the traditional office-visit model, health care homes help patients get access to medical specialists and then review the results of tests, prescriptions or recommendations by specialists to make sure they are consistent with a patient's overall care plan. The clinics also provide or connect patients to exercise, dietary or other wellness programs in their communities.
Asthmatic children receiving care at health care homes were more likely to have asthma action plans, which spell out how to manage the disease and respond in the event of an attack and shortness of breath. As a result, 39 percent of asthmatic children in health care homes were meeting medical goals, compared with 19 percent at traditional clinics, the researchers found.