Neighborhood Health Plan Helps 495 Rhode Islanders Avoid Long Nursing Home Stays

GoLocalProv News Team

Neighborhood Health Plan Helps 495 Rhode Islanders Avoid Long Nursing Home Stays

Nearly 500 Rhode Islanders avoided unnecessary long-term admission to a nursing home and almost 150 Rhode Islanders were successfully taken out of nursing homes as a result of Neighborhood Health Plan of RI’s support of the Integrate Care Initiative (ICI). The data follows a three-year analysis of state and internal records. 

“People who are older or disabled are often eager to remain in their homes and communities for as long as possible, and Neighborhood Health Plan of Rhode Island helps make that happen through our managed care programs. We know that Rhode Island’s seniors have the potential to be more physically and emotionally well when they are able to live independently. We also know that helping them do so can provide substantial cost savings to our state’s taxpayers,” said Peter Marino, Neighborhood’s President and CEO.

Since 2013, Neighborhood’s teams diverted 495 Rhode Islanders from long-term placements in skilled nursing facilities, helping them instead to obtain and maintain independent living arrangements with the necessary supports and services. With the cost of nursing home care averaging $3000/month, each diversion potentially saves taxpayers $36,000/year – for a total savings of close to $18 million.

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“These numbers are particularly impressive when you take into account that we only started working with the dual-eligible population eight months ago,” added Marino.  “We can expect cost savings to increase and health outcomes to improve on an even greater scale as we expand our operations.”

Integrated Care Initiative 

Neighborhood partnered with the state to launch the two-phase ICI in November of 2013, targeting people dually-eligible for Medicare and Medicaid benefits. 

Phase I covered individuals’ Medicaid benefits; Phase II, which required a partnership with the federal government as well, covers members’ Medicaid and Medicare benefits and began enrolling its first members in July 2016. 


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