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The Gap Impact

SCP Health Thought Leadership

November 15, 2024

Resources

The Care Gap significantly impacts patients, clinicians, payors, and hospitals. Each encounters difficulties and frustrations in the Gap that can be solved with thoughtful and data-driven interventions.

Without Care in the Gap

With Care in the Gap

Patients

  • Continuing improvement
  • Prescriptions to fill
  • Finding a primary care physician
  • Scheduling a timely follow-up
  • Engaging in follow-up care
  • Better outcomes
  • Follow-up support for questions and concerns
  • New relationships with primary care physician
  • Timely follow-up care

Clinicians

  • Increased demand and stress in the ED
  • Unsolvable situations where patients have no new solutions after a second visit
  • Decreased patient trust, more frustration, and less satisfaction
  • Better care for patients after an ED encounter
  • Reduce unnecessary ED visits
  • Keep clinicians out of unsolvable situations; empower solutions
  • Decreased risk
  • Increased ED capacity, better use of resources

Hospitals and Health Systems

  • Cost of repeat visits
  • Decreased patient satisfaction
  • Complex post-acute care coordination
  • Increased readmission mortality rates
  • Improve quality of care across the care continuum
  • Retain and gain new market share
  • Increase patient satisfaction
  • Better performance in value-based models

Payors

  • High cost of post-acute care
  • Cost of avoidable ED visits and hospitalizations
  • Lack of networks and infrastructure for care coordination
  • Increased member satisfaction
  • Gain competitive advantage by empowering members to navigate effectively
  • Decreased cost
  • Better performance in value-based models of care
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