Boyd Gilman, PhD

This study identifies several factors shared by locally defined delivery system innovations that have been shown to reduce service use and lower health care spending.

A community-based care management program for high-risk patients reduced hospital readmissions and also likely reduced admissions and Medicare parts A and B spending.

A telephonic transitional care program at a rural hospital reduced postdischarge Medicare spending by 31% and reduced inpatient spending for Medicare fee-for-service beneficiaries.