Transforming the Workforce to Provide Better Chronic Care: The Role of Local Care Coordinators at CareFirst

Part 6 in the Transforming the Workforce to Provide Better Chronic Care:
The Role of Registered Nurses series.
Click to see the rest of the series.

CareFirst, a commercial insurer serving Maryland, northern Virginia, and the District of Columbia, utilizes local nurse care coordinators to support primary care providers within its patient-centered medical home program. Local care coordinators provide care coordination, care planning, and patient education to chronically ill CareFirst members through a combination of telephonic and in-person encounters.

In addition to highlighting state policy implications, this brief also showcases how Michele Brown, local care coordinator, is able to drive improvements in care for her patients. After three years of operation, CareFirst reported that the total cost of care for patients covered by its PCMH program was $267 million less when compared to projected total cost of care from 2011 to 2013.

This brief is the sixth in a six-part series, supported by the AARP Public Policy Institute, which explores the evolving role of nurses in new delivery system models.

Susan Reinhard, AARP Public Policy Institute
February 2015
Attachment Size
Click for the Publication 359.26 KB