Expenditure Reductions Associated with a Social Service Referral Program
Open Access
- 1 December 2018
- journal article
- research article
- Published by Mary Ann Liebert Inc in Population Health Management
- Vol. 21 (6), 469-476
- https://doi.org/10.1089/pop.2017.0199
Abstract
Recent health system innovations provide encouraging evidence that greater coordination of medical and social services can improve health outcomes and reduce health care expenditures. This study evaluated the savings associated with a managed care organization's call center-based social service referral program that aimed to assist participants address their social needs, such as homelessness, transportation barriers, and food insecurity. The program evaluation linked social service referral data with health care claims to analyze expenditures in 2 annual periods, before and after the first social service referral. Secondary data analysis estimated the change in mean expenditures over 2 annual periods using generalized estimating equations regression analysis with the identity link. The study compared the change in mean health care expenditures for the second year for those reporting social needs met versus the group whose needs remained unmet. By comparing the difference between the first and second year mean expenditures for both groups, the study estimated the associated savings of social services, after controlling for group differences. These results showed that the decrease in second year mean expenditures for the group of participants who reported all of their social needs met was $2443 (10%) greater than the decrease in second year mean expenditures for the group who reported none of their social needs met, after controlling for group differences. Organizations that integrate medical and social services may thrive under policy initiatives that require financial accountability for the total well-being of patients.Keywords
This publication has 39 references indexed in Scilit:
- Strong Social Support Services, Such As Transportation And Help For Caregivers, Can Lead To Lower Health Care Use And CostsHealth Affairs, 2013
- Addressing Families’ Unmet Social Needs Within Pediatric Primary CareClinical Pediatrics, 2012
- Health and social services expenditures: associations with health outcomesBMJ Quality & Safety, 2011
- Studies of the Cost-Effectiveness of Social Work Services in Aging: A Review of the LiteratureResearch on Social Work Practice, 2006
- How to measure comorbidity: a critical review of available methodsJournal of Clinical Epidemiology, 2004
- How to measure comorbidity: a critical review of available methodsJournal of Clinical Epidemiology, 2003
- The Importance of the Normality Assumption in Large Public Health Data SetsAnnual Review of Public Health, 2002
- METHODS FOR ANALYZING HEALTH CARE UTILIZATION AND COSTSAnnual Review of Public Health, 1999
- An assessment of health hazard/health risk appraisal.American Journal of Public Health, 1982