This account is pending registration confirmation. Please click on the link within the confirmation email previously sent you to complete registration.
Need a new registration confirmation email? Click here
TheStreet Open House

Hospitals Contributions Fund (HCF)

A chronic disease management program launched three years ago by Australia’s largest not-for-profit health insurer, the Hospitals Contributions Fund (HCF), has been found to significantly reduce the rate of hospital admissions for participants with heart disease and diabetes. The My Health Guardian program leads to reduced healthcare costs by helping people with chronic diseases self-manage their conditions. Published in the peer-reviewed journal, Population Health Management, the program’s impact on hospital admissions is reported in a first-of-its-kind study in Australia . These significant changes in healthcare utilization are indicative of improved population health and lead to reduced healthcare cost.

An evaluation of the program compared more than 5,000  My  Health Guardian participants suffering from chronic heart disease and diabetes with a statistically comparable group of more than 23,000 non-participating HCF members with the same two conditions. Rates of hospital admission and readmission and the average length of stay (ALOS) were measured for both participating and non-participating groups over one year prior to the program’s commencement (as baseline), and again after the first 12 and 18 months of the program’s operation.

“The study bolsters the case for investment in effective chronic disease programs,” said HCF Managing Director Shaun Larkin. “Chronic illness accounts for 70% of Australia’s national disease burden today, and this is expected to increase to 80% by 2020. If we are serious about easing the strain on our health system, we need to gather evidence on programs that work. My Health Guardian offers a template for the way forward.”

Among key findings of the evaluation:

  • The program participant group (heart disease and diabetes) uniformly recorded lower hospital admission and readmission rates and ALOS than the non-participating group, after both the 12-month and 18-month period.
  • For participants with heart disease, the difference in percentage change in hospital admission rates compared to non-participants was -7.2% and -12.0% after 12 months and 18 months respectively. This participating group also recorded statistically significant improvement in readmission rate after 12 and 18 months and ALOS after 18 months compared to non-participants.
  • For diabetes sufferers, the difference in percentage change in hospital admission rates was -7.8% after 12 months and -13.4% after 18 months for program participants compared to non-participants.
  • The outperformance of program participants versus non-participants on all measures widened the longer they were in the program.

Launched as a A$100 million investment by HCF, My Health Guardian offers support to members suffering from up to 12 chronic conditions, including diabetes and heart disease, which together account for the bulk of chronic illness in Australia. The program is delivered by population health provider Healthways and includes care management calls, personalized online health support, regular health assessments, health action plans and tracking of health behavior.

“Another significant implication of this study is the successful adaptation of a program model pioneered in the United States to improve outcomes in the context of the Australian culture and healthcare system,” said Dr. James Pope, M.D. F.A.C.C., co-author of the study and vice president, Chief Science Officer at Healthways. “We were very pleased with the rates of participation among HCF members and the program’s strong outcomes. These results suggest comprehensive chronic care programs could by adopted by other countries that are experiencing rising prevalence of chronic disease along with the significant accompanying increase in medical expenditures and decrease in quality of life.”

1 of 2

Select the service that is right for you!

COMPARE ALL SERVICES
Action Alerts PLUS
Try it NOW

Jim Cramer and Stephanie Link actively manage a real portfolio and reveal their money management tactics while giving advanced notice before every trade.

Product Features:
  • $2.5+ million portfolio
  • Large-cap and dividend focus
  • Intraday trade alerts from Cramer
  • Weekly roundups
TheStreet Quant Ratings
Try it NOW
Only $49.95/yr

Access the tool that DOMINATES the Russell 2000 and the S&P 500.

Product Features:
  • Buy, hold, or sell recommendations for over 4,300 stocks
  • Unlimited research reports on your favorite stocks
  • A custom stock screener
  • Upgrade/downgrade alerts
Stocks Under $10
Try it NOW

David Peltier, uncovers low dollar stocks with extraordinary upside potential that are flying under Wall Street's radar.

Product Features:
  • Model portfolio
  • Stocks trading below $10
  • Intraday trade alerts
  • Weekly roundups
Dividend Stock Advisor
Try it NOW

Jim Cramer's protege, David Peltier, identifies the best of breed dividend stocks that will pay a reliable AND significant income stream.

Product Features:
  • Diversified model portfolio of dividend stocks
  • Alerts when market news affect the portfolio
  • Bi-weekly updates with exact steps to take - BUY, HOLD, SELL
Real Money Pro
Try it NOW

All of Real Money, plus 15 more of Wall Street's sharpest minds delivering actionable trading ideas, a comprehensive look at the market, and fundamental and technical analysis.

Product Features:
  • Real Money + Doug Kass Plus 15 more Wall Street Pros
  • Intraday commentary & news
  • Ultra-actionable trading ideas
Options Profits
Try it NOW

Our options trading pros provide daily market commentary and over 100 monthly option trading ideas and strategies to help you become a well-seasoned trader.

Product Features:
  • 100+ monthly options trading ideas
  • Actionable options commentary & news
  • Real-time trading community
  • Options TV
To begin commenting right away, you can log in below using your Disqus, Facebook, Twitter, OpenID or Yahoo login credentials. Alternatively, you can post a comment as a "guest" just by entering an email address. Your use of the commenting tool is subject to multiple terms of service/use and privacy policies - see here for more details.
Submit an article to us!
DOW 17,067.56 -30.89 -0.18%
S&P 500 2,002.28 -1.09 -0.05%
NASDAQ 4,598.1880 +17.9170 0.39%

Brokerage Partners

Rates from Bankrate.com

  • Mortgage
  • Credit Cards
  • Auto

Free Newsletters from TheStreet

My Subscriptions:

After the Bell

Before the Bell

Booyah! Newsletter

Midday Bell

TheStreet Top 10 Stories

Winners & Losers

Register for Newsletters
Top Rated Stocks Top Rated Funds Top Rated ETFs