Going Beyond Clinical Care to Reduce Health Care Spending

Shannon M.E. Murphy
Douglas E. Hough
Martha L. Sylvia
Melissa Sherry
Linda J. Dunbar
Raymond Zollinger
Regina Richardson
Scott A. Berkowitz
Kevin D. Frick
Journal Article
July 2018

This resource describes a study of the Johns Hopkins Community Health Partnership (J-CHiP), which was created as a regional approach to health care transformation in Baltimore, Maryland.

  • J-CHiP deployed a comprehensive set of care coordination programs across the continuum of traditional, and nontraditional, health care settings.
  • The intervention augmented care management with programs designed to address barriers to health.
  • This analysis evaluates whether J-CHiP’s approach to population health management achieved the desired reduction in costs and acute utilization for Medicaid and Medicare beneficiaries in East Baltimore.
  • The analysis failed to detect statistically significant cost savings. However, from a health care innovations perspective, the results highlight promising aspects of the J-CHiP program and also indicate areas in need of improvement.
Posted to The Playbook on
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • What is one example of a regional approach to health care transformation?
  • What effects did it have on costs and rates of acute health care utilization?
  • What lessons does it provide? 
Level of Evidence
What does this mean?