The Health Resilience Program: A Program Assessment

Keri Vartanian
Sarah Tran
Bill Wright
Grace Li
Megan Holtorf
Michael Levinson
Case Study
January 2016

This resource summarizes a descriptive study of the Health Resilience Program (HRP) in Oregon, a program designed to address the needs of high-risk Medicaid and Medicare patients and reduce costs.

  • In 2011, CareOregon launched HRP in three clinics. The program was then scaled up to a total of 16 primary care clinics and one specialty care clinic.
  • In the program, Health Resilience Specialists work with the patients to meet their personal health needs. They work on communications skills, healthy behavior, self-advocacy, and planning for the future.
  • After enrolling, HRP participants had fewer emergency department visits and fewer non-obstetrics inpatient events, but more primary care visits, suggesting better connections to a primary care provider.
  • After entering the HRP, participants were more likely to report that all of their health care needs were being met and were more satisfied with their health care. On average, their monthly expenditures were $208 lower than before they entered the program.
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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’s an example of a program that effectively addresses the needs of complex patients while reducing costs?
  • How does the Health Resilience Program work?
  • What outcomes are attributed to the Health Resilience Program ?
Level of Evidence
What does this mean?